SCFD-Emergency Medical Services - Standby Event Request

To begin the process of requesting dedicated Emergency Medical Standby services, please complete the form below. Upon submittal of completed form, a staff member will contact you.

General

Name of Event (required)

Date of Event (required)

Event Start Time (am/pm) (required)

Event End Time (am/pm) (required)

Address of Event (including City, State and Zip Code) (required)

Day of Event Contact Information

First & Last Name (required)

Phone Number (required)

Type of Service Requested (required)

Billing Information

Responsible Party (First & Last Name) (required)

Phone (required)

Email (required)

Mailing Address (including City, State and Zip Code) (required)

Notes

There was a problem saving your submission. Please try again later.

Please wait while your submission is being saved...

Thank you, your submission has been received.

Sign up for updates from Sonoma County Fire District

Website Accessibility Statement