Area Ambulance Service [text default="UNIT NUMBER"] dispatched for; [text default="DISPATCH REASON" size=50]. Dispatched with [text default="FIRE/PD/OTHER" size=50]. Enroute emergent [select name="variable_1" value="***CHOOSE ONE***|with lights and sirens.|without lights and sirens.|initially lights and sirens then downgraded to no lights and sirens by *****.| initially no lights and sirens then upgraded to lights and sirens by *****."] [text default="***ADDITIONAL DISPATCH INFORMATION***" size=50] Arrived onscene to [textarea name="variable_1" default="sample text"].
There are 6 form elements.