Public Relations Events
Request an Event

General Information:
Requesting Agency:
Contact Person:
E-mail Address :
Contact Phone Number:
Type:	Select One Work Phone Home Phone Cell Phone
Cancellation Number:
We need a number that our communication center can call in the event our crews are not able to attend. This could be the same number, Fire/EMS station, or dispatch center.
Event Information:
Date of Event:
Type of Event:
City/Town:
County:
Time you would like the Helicopter/Mobile ICU to arrive:
(This could be a specific time or a time frame. This will depend on the event type.)
Landing Zone information:
Where will the helicopter land?
Location of landing area and what type of surface will they be landing on?
Any Obstructions:
Latitude:
Longitude:
If you do not have a GPS unit, please put the address or cross streets of the LZ in the Special Requests box below.
Radio Frequency:
PL Tone:
Ground contact unit number:
Special Requests: