State EMS Mobilization Request

NYS DOH EMS MOBILIZATION REQUEST

This is an actual NYS DOH EMS Mobilization Request. One person from each EMS agency should report resources that are available for deployment at this time using this form. 

 

NYS EMS Mobilization Request
Deployment Contact Information
Agency Information


Please report ONLY the resources that are available for deployment.

Personnel Available For Deployment

Please provide the number of personnel available for deployment

Equipment Available For Deployment

Please provide the number of assets available for deployment. 

Person Submitting Survey