Request Medical Event Coverage

Request event coverage by filling out the form below:

Our Special Events team provides EMS services for more than 700 events per year, ranging from small gatherings to weeklong celebrations. Our team is agile, flexible and offers specialized care and vehicles to match the needs of your event.

Organization Name*
Name*
First Last
Job Title*
Contact Email*

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Contact Phone*
Contact Fax
Bill Address*
Street Address Address Line 2 City State ZIP Code
Non-Profit
- Non-Profit
Tax Exempt Number (for non-profit organizations only)
Event Name*
Event Start Date*
MM slash DD slash YYYY
Event End Date*
MM slash DD slash YYYY
Event Start Time*

: Hours

Minutes

AM/PM
Event End Time*

: Hours

Minutes

AM/PM
Hours Requested (if different than event hours)
Estimated Crowd Size*
Age Group*
Alcohol Served*
- Yes
- No
Other Public Service Agencies present? (fire department, law enforcement, etc)
Event Venue Location*
Event Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Description of Event*
Please describe your event. Discuss the amount of people, location, and the date / time of your event in detail. If your event is occurring within the next 30 days, please call (775) 858-5700 and ask to speak directly with our special events team.
On-Site Contact Name*
First Last
On-Site Contact Phone*
Special Instructions / Special Requests

Request Event Coverage

REMSA

Request event coverage by filling out the form below:

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