FEMS Special Events

Event Information

Event Name*

Event Address*

City*

State*

Zip*

Sponsor Name*

Sponsor Address*

City*

State*

Zip*

Billing Information Same as Sponsor

Full Name*

Billing Address*

City*

State*

Zip*

Preferred Payment Method*

Note: We are now accepting Credit Cards. Once your request is approved, you will receive a link in your email to pay using credit card.

Event Date(s) and Event Timeline

Note: The apparatus request should be at least 4 hours.

Event Start Time*	Event Finish Time*

Event Coordinator/Contact Person

Full Name*

Daytime Phone Number*

Cell Number*

Fax Number

Email*

Secondary Email

Upload Documents

Event Drawing footprint

Special Event Application Questionnaire

DOH Health & Medical Safety Plan

Note: Please have all requested documents available during the time of consultation.

Apparatus Requested

Fire & EMS Special Event Request