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
Company
Email
Phone Number

Event Information

Event Title
Date
Hours you'll need EMS services
Location

Level of Service Needed

Choose one of the following:

Comments or Questions

Please enter any comments or questions here: