| CFS #: | ____________________________________ |
| HCEMS #: | ____________________________________ |
| Date: | ____________________________________ |
| Dispatcher: | ____________________________________ |
| Security: | ____________________________________ |
| EMTs: | ____________________________________ |
| In the space below, describe why you believe this call was dispatched inappropriately. This completed form should be delivered to the Director of Public Safety along with a copy of this call's run sheet. |
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