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EMS Standby Request

  1. Label

    THIS FORM IS NOT LIVE AT THIS TIME, AND REQUESTS SUBMITTED THROUGH IT WILL NOT BE RECEIVED BY THE CORRECT STAFF.

  2. Enter your contact information below

  3. Location of Event

    As applicable, enter the name of the location and the street address below.

  4. When can EMS arrive to begin setting up?

  5. Enter the start and end time of the actual event.

  6. Please explain what our role will be at the event, or what we are expected to accomplish. Also, if there additional details or important information include that here.

  7. Understand that Orange County Emergency Services will try to accommodate all requests, but if we are over scheduled we will turn away events that will place too much of a strain on our staff and resources

  8. Leave This Blank:

  9. This field is not part of the form submission.