Request EMS Standby

Please note:

  • Notifications and requests should be completed at least 14 days prior to the date of the event.
  • Requests made less than 14 days prior to the event may not be able to be covered if other special events are already scheduled.
  • You will receive a confirmation e-mail and a custom quote within (5) business days of completing a request.
  • Please give us a minimum 2-hour notification for cancellation.

EMS Standby Request Form

Contact Information

*Name (required)
*Company (required)
Phone Number

Event Information

*Event Title (required)
*Date (required)
*Hours you'll need EMS services (required)
*Location (required)

Level of Service Needed

*Choose one of the following: (required)

Comments or Questions

Please enter any comments or questions here: