The intent of this form is to give the EMS Service guidance in how to proceed in the event of an LODD/Serious Injury event.
This form should be filled out when an employee is hired, and updated annually. (A good time for this to occur is during annual mandatory meetings or during annual employee reviews.)
The EMS Service keeps page 1, and the employee takes page 2 and gives it to spouse or trusted family member.
The bold lettering Link below has updated forms for your employees to fill out.