EMS Forms

Share & Bookmark, Press Enter to show all options, press Tab go to next option
Print

APPLICATION FORMS

AED Installation Notification

While individual people are not required to have AED’s, California state law does require a number of buildings and businesses to have these devices available to the public. To register your new AED with Stanislaus County LEMSA, please submit the form below or follow.

AED Installation Notification Form

Unusual Occurrence Report

Please ensure all fields have been completed, use additional sheets as necessary. The involved parties shall submit the complete form to their CQI Coordinator within three (3) working days of the incident. The CQI Coordinator shall review and complete the form, then submit it to the EMS Agency within five (5) working days. This report may be completed electronically and submitted to emsdutyofficer@stanoes.com

Unusual Occurrence Report Form 


Newsletter Opt-In

Loading...