EMS Request Form - Honolulu Emergency Services Department

Submit a Request

Use this form to request EMS participation in an upcoming school or community event.

Event details(Required)

Please tell us about your event and how you would like EMS to participate in it.

Event date(Required)

Event time(Required)

Event address(Required)

Street Address Address Line 2 City State ZIP / Postal Code

Is this a school event?(Required)

Yes

How many students will be participating?(Required)

Which grade levels will be participating?(Required)

Contact person: Name(Required)

First Last

Contact person: Phone(Required)

Contact person: Email(Required)

May EMS take pictures to post on its social media for your event?(Required)

Yes

CAPTCHA

Comments

This field is for validation purposes and should be left unchanged.