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Scene Call of the Year Award Application
Scene Call of the Year Award Application
Name of Department
Date of Call (DD/MM/YYYY)
Type of Department
Full Time
Combination
Volunteer
Type of Accident
Did you use the FFL Central App to request us for this call?
Yes
No
Not sure
Comments about the App
Location of Accident
Dispatch information you were given
What you found on arrival
Describe your operation at the scene
What made this rescue/ambulance call unique from others you have completed?
What did this call teach you?
Was personal protective eyewear (PPE) used?
Yes
No
List Duty Crew
List Mutual Aid departments (include law enforcement and dispatch personnel)
Name and Title of person completing this application
Phone number where we can reach you
Your Email Address
Today's Date (DD/MM/YYYY)
Chief Officer's Name
I am forwarding photos
Yes
No