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LA Automated External Defibrillator Acquisition Notification free printable template

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Submit by Email Print Form State of Louisiana Department of Health and Hospitals Bureau of Emergency Medical Services AUTOMATED EXTERNAL DEFIBRILLATOR ACQUISITION NOTIFICATION In compliance with R.S.1236.13,
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How to fill out LA Automated External Defibrillator Acquisition Notification

01
Obtain the LA Automated External Defibrillator Acquisition Notification form from the appropriate health department or website.
02
Fill in the name and address of the organization or entity acquiring the AED.
03
Provide contact information, including phone number and email address for the responsible person.
04
Specify the location(s) where the AED will be placed.
05
Indicate the number of AEDs being acquired.
06
Provide information regarding training for staff on the use of the AED.
07
Review the form for accuracy and completeness.
08
Submit the completed form to the designated health department or agency.

Who needs LA Automated External Defibrillator Acquisition Notification?

01
Organizations and entities that are acquiring Automated External Defibrillators (AEDs), such as workplaces, schools, public facilities, and recreational centers.
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LA Automated External Defibrillator Acquisition Notification is a system used to inform local authorities about the acquisition of automated external defibrillators (AEDs) by organizations or individuals, ensuring that defibrillators are registered and available in case of emergencies.
Organizations, businesses, or individuals who acquire an automated external defibrillator (AED) are required to file the LA Automated External Defibrillator Acquisition Notification.
To fill out the LA Automated External Defibrillator Acquisition Notification, you need to provide details such as the acquiring organization's name, address, the serial number of the AED, and the location where the AED will be stored and used.
The purpose of the LA Automated External Defibrillator Acquisition Notification is to ensure that all AEDs are properly registered, allowing emergency responders to locate accessible defibrillators quickly during cardiac emergencies.
The information that must be reported includes the name and address of the organization acquiring the AED, the serial number and model of the AED, the location where it will be placed, and contact information for a responsible individual.
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