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Delaware County, Indiana
Discover Delaware County - an east central Indiana community of opportunity
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Staff Forms
Staff Forms
EMS Staff Forms
EMS Daily Line-Up
Overtime Request Form
EMS Bi-Weekly Timesheet
EMS Daily Vehicle and Equipment Inspection
EMS Fleet Report/Repair Request
EMS General Incident Narrative/Statement
EMS Run Sheet
(backup to main system)
QA/QI - Quality Assurance/Quality Improvement Form
Vacation-Personal Day Request Form
EMS Ambulance Transfer Form (PCS)
HIPAA Form
Training Roster
Provider Signature Sheet
Facility Signature Sheet
Disregard Signature Sheet
Medicare and Medicaid Compliance Form
(PDF)
Hazmat Decon Report
(Fillable PDF)
DCEMS Standard Operating Procedures
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News & Notices
Video PSA - Severe Weather Awareness with Delaware County Emergency Management
Upcoming Events
New Years Day - County Offices Closed
Jan 01 | All Day
Dr. Martin Luther King Jr. Day - County Offices Closed
Jan 19 | All Day
Good Friday - County Offices Closed
Apr 03 | All Day
Primary Election - County Offices Closed
May 05 | All Day
Memorial Day - County Offices Closed
May 25 | All Day
More Like These
Useful Links
Video PSA - Severe Weather Awareness with Delaware County Emergency Management
DCEMS SOP
Delaware County Emergency Medical Service Assistance Card
Hazmat Decon Report
Medicare and Medicaid Compliance Form
EMS Lesson Plan
EMS Managing Performance Checklist
EMS Bi-weekly Timesheet
Disregard Signature Sheet
More Useful Links