ES ON Property

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posted 2023-03-01, updated 2023-03-01
Emergency Medical Services
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approximately 7 views in the last month.
*** Notification of Emergency Services on Property ***

Date: [date name="variable_1" default=""]

Time: [text name="variable_2" default=""]

Brief Synopsis of the Incident: 
[textarea name="variable_3" default=""]

Disposition of the Incident: 
[textarea name="variable_4" default=""]

LPO Making the Notification: [select name="variable_5" value="Supervisor Hageman|LPO Coleton Hogan|LPO David Smith|LPO Luke Bogie|LPO Florian Seaman|LPO Seth Champange|LPO Chris Tyler|DoLP Tim Monahan"]
*** Notification of Emergency Services on Property ***

Date:

Time:

Brief Synopsis of the Incident:


Disposition of the Incident:


LPO Making the Notification:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.4, 5 form elements, 21 boilerplate words, 1 text boxes, 2 text areas, 1 dates, 1 drop downs, 5 total clicks
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