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PHS KC Agreement # 1216 EMS Amendment 5 AMENDMENT This Amendment between PHS KC and the Recipient changes the referenced Agreement for the following purpose(s): Amend contract to add 2018 BLS Allocation
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How to fill out phskc agreement 1216 ems
01
To fill out the PHSKC Agreement 1216 EMS, follow these steps:
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Begin by entering the date on the top right corner of the form.
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Write your full name, address, and contact details in the provided fields.
04
If applicable, include your organization's name and address.
05
Indicate whether you are an individual or representing an organization.
06
Read the agreement carefully and make sure you understand the terms and conditions.
07
Sign and date the agreement at the bottom of the form.
08
Provide any additional requested information, such as initials or contact person details, if applicable.
09
Review the filled-out form for any errors or missing information.
10
Submit the completed PHSKC Agreement 1216 EMS form to the appropriate person or organization.
Who needs phskc agreement 1216 ems?
01
The PHSKC Agreement 1216 EMS is typically required for individuals or organizations that have a need to access the services provided by PHSKC (Public Health - Seattle & King County) in emergency medical situations.
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This may include healthcare professionals, emergency responders, or organizations involved in public health initiatives.
03
It is recommended to check with PHSKC or the specific department/program requiring the agreement to determine if it is necessary for your situation.
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What is phskc agreement 1216 ems?
PHSKC Agreement 1216 EMS is an agreement between Public Health - Seattle & King County (PHSKC) and emergency medical services (EMS) providers in King County.
Who is required to file phskc agreement 1216 ems?
All EMS providers operating in King County are required to file PHSKC Agreement 1216 EMS.
How to fill out phskc agreement 1216 ems?
To fill out PHSKC Agreement 1216 EMS, providers must provide all relevant information requested in the agreement form and submit it to PHSKC by the specified deadline.
What is the purpose of phskc agreement 1216 ems?
The purpose of PHSKC Agreement 1216 EMS is to ensure coordination and cooperation between EMS providers and PHSKC for effective emergency medical response in King County.
What information must be reported on phskc agreement 1216 ems?
Information required on PHSKC Agreement 1216 EMS includes provider contact information, service areas, response times, and other operational details.
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