Event Medical Cover Form

[Caitlin_Swenchjaeger]

LOS SANTOS FIRE DEPARTMENT

Office of Public Affairs

Committed to Excellence!

Rockford Hills, South Blvd Del Perro / Rockford Drive, Los Santos Fire Department HQ.

Email: [email protected]

 

Event Medical Cover

---

Event Coordinator :

1. Full Name :
2. Phone Number :
3. Email Address :
4. Home Address :
5. Valid ID-Card :

   Spoiler [show]

Event Details :

1. Event Name :
2. Event Type :
3. Date :
4. Time : Start time - end time
5. Event Location :

   Spoiler [show]

6. Brief Event Description :

Rundown Details (Schedule including Time and Activities) :

xx.xx - xx.xx - [activities]
xx.xx - xx.xx - [activities]

Requested Service Details :

1. Brief Description of Service Needed :
2. Duration of Service :
3. Required Medical Staff :
4. Details unit :
   [ ] Ambulance
   [ ] Fire Truck
   [ ] Lifeboat
   [ ] Lifeflight

Acknowledgement of Terms

The event medical cover serves as a facility managed by the Los Santos Fire Department to provide necessary medical assistance during [Event Name]. By proceeding with this event, you acknowledge and agree to comply with the requirements outlined by the Fire Department for the operation of the medical center. This includes following safety protocols, cooperating with medical personnel.

Signed,

Full Name
Event Position

Please create a new post with tittle : EMC [Event Name] - Coordinator Name

Code: Select all

[divbox=beige][center][img-resize=150]https://i.postimg.cc/YSmH9hxj/image.png[/img-resize][/center] 
[center][size=170][font=times new roman]LOS SANTOS FIRE DEPARTMENT[/font][/size][/center] [center][size=170][font=times new roman]Office of Public Affairs[/font][/size][/center][center][size=120][font=times new roman]Commited To Exellence[/font][/size][/center] [center][size=100][font=times new roman]Rockford Hills, South Blvd Del Perro / Rockford Drive, Los Santos Fire Department HQ.[/font][/size] [center][size=100][font=times new roman]Email: [email protected][/font][/size][/center][/center]
[space][/space]
[divbox=maroon][color=#FFFFFF][size=200][center][b]Event Medical Cover[/b][/center][/size][/color][/divbox]
[hr][/hr]
[divbox=white][color=maroon][b]Event Coordinator :[/b][/color] 
[list=1]
[*][b]Full Name :[/b]
[*][b]Phone Number :[/b]
[*][b]Email Address :[/b]
[*][b]Home Address :[/b]
[*][b]Valid ID-Card :[/b]
[spoiler][img][/img][/spoiler]
[/list][/divbox]

[divbox=white][color=maroon][b]Event Details :[/b][/color] 
[list=1]
[*][b]Event Name :[/b]
[*][b]Event Type :[/b]
[*][b]Date :[/b]
[*][b]Time :[/b] Start time - end time
[*][b]Event Location :[/b]
[spoiler][img][/img][/spoiler]
[*][b]Brief Event Description :[/b]
[quote][/quote]
[/list][/divbox]

[divbox=white][color=maroon][b]Rundown Details (Schedule including Time and Activities) :[/b][/color] 
[divbox=white]xx.xx - xx.xx - [activities]
xx.xx - xx.xx - [activities] [/divbox]
[/divbox]

[divbox=white][color=maroon][b]Requested Service Details :[/b][/color] 
[list=1]
[*][b]Brief Description of Service Needed :[/b]
[*][b]Duration of Service :[/b]
[*][b]Required Medical Staff :[/b]

[*][b]Details unit :[/b]
[ ] Ambulance 
[ ] Fire Truck 
[ ] Lifeboat
[ ] Lifeflight
[/list][/divbox]

[divbox=maroon][color=#FFFFFF][size=150][b]Acknowledgement of Terms[/b][/size][/color][/divbox]
[justify][quote]The event medical cover serves as a facility managed by the [b][color=#800000]Los Santos Fire Department[/color][/b] to provide necessary medical assistance during [Event Name]. By proceeding with this event, you acknowledge and agree to comply with the requirements outlined by the Fire Department for the operation of the medical center. This includes following safety protocols, cooperating with medical personnel.[/quote][/justify]
[right]Signed,
[img]signature[/img]
Full Name
Event Position
[/right][/divbox]