Form List

Print
Press Enter to show all options, press Tab go to next option

Standby Unit Request

Please correct the field(s) marked in red below:

Dare County EMS provides standby EMS coverage at special events and mass gatherings based on the following fee schedule and unit availability. Final determination on coverage requirements will be made by DCEMS.

 

Fully Staffed Ambulance    $150.00 per/hr per unit

Staffed ATV Gator               $150.00 per/hr per unit

Walking Crew                        $74.00 per/hr per crew

Supervisor on site                 $50.00 per/hr per supervisor

 

Requests shall be submitted no less than fourteen (14) days prior to the event.

When is the event?
Time
Time
Where is the Event Location?
Where is the Event Location?
Nature of the event
Nature of the event
Point of Contact
Point of Contact
Resources Requested
Resources Requested

Billing Information

Makes Checks Payable to Dare County EMS

PO Box 1000 

Manteo NC, 27954

Billing Information Makes Checks Payable to Dare County EMS PO Box 1000 Manteo NC, 27954
Is this event affiliated with Dare County Government
Is this event affiliated with Dare County Government
  1. To receive a copy of your submission, please fill out your email address below and submit.