| Call 911 | Police: |
| Fire: | |
| Ambulance: |
Information to be given to Emergency Squad
Location/Street Address:__________________________________
City/Town:
__________________________________
Directions (cross streets/Landmarks):__________________________________
Telephone Number from where call is made:
__________________________________
What Happened:__________________________________
How many injured:__________________________________
Condition of Injured:__________________________________
Is First Aid being given:__________________________________
DO NOT HANG UP FIRST, LET EMS HANG UP FIRST!
| Call 911 | Police: |
| Fire: | |
| Ambulance: |
Information to be given to Emergency Squad
Location/Street Address:__________________________________
City/Town: __________________________________
Directions (cross streets/Landmarks):__________________________________
Telephone Number from where call is made:
__________________________________
What Happened:__________________________________
How many injured:__________________________________
Condition of Injured:__________________________________
Is First Aid being given:__________________________________
DO NOT HANG UP FIRST, LET EMS HANG UP FIRST!