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Fire Department City Of Englewood Bureau of Fire PreventionEMERGENCY NOTIFICATION SHEET LOCATION: DATE: ADDRESS: BUILDING OWNER/AGENT: ADDRESS: HOME PHONE: MOBILE: OTHER: NAME: ADDRESS: HOME PHONE:
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How to fill out emergency notification sheet

01
Begin by providing your personal information such as your name, address, and contact information.
02
Next, detail any medical conditions or allergies you have that emergency responders should be aware of.
03
Indicate if you are taking any medication and specify the dosage and frequency.
04
Include the contact information of your emergency contacts, including their names, relationships, and phone numbers.
05
Specify any specific instructions or preferences you have in case of an emergency, such as preferred hospitals or medical professionals.
06
Lastly, sign and date the emergency notification sheet to acknowledge that the information provided is accurate and up to date.

Who needs emergency notification sheet?

01
Anyone who wants to ensure that emergency responders have the necessary information to provide appropriate care during emergencies needs an emergency notification sheet.
02
This includes individuals with pre-existing medical conditions, allergies, or those taking certain medications.
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Emergency notification sheet is a document used to report emergencies or incidents to the appropriate authorities.
All individuals or organizations responsible for emergency response are required to file an emergency notification sheet.
You can fill out the emergency notification sheet by providing all required information about the emergency or incident in the designated sections of the form.
The purpose of the emergency notification sheet is to alert and inform authorities about emergencies or incidents that require immediate attention.
Information such as date, time, location, nature of emergency, and contact information must be reported on the emergency notification sheet.
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