• Background

Emergency Medical Authority

Emergency Medical Authority

EMA Incident Report

Monroe County 
Emergency Medical Authority 
Incident Report

Paramedic
EMS Ambulance
Hospital
Fire Department
Law Enforcement
Other
   
Date of Incident
Time of Incident
Location of Incident
Nature of Incident
Agency Involved
Person(s) Requesting
Investigations
Explanation of
Incident
Reason for 
Investigation
   
Date
Name
Title/Agency
Address
Phone
Email