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EMD Responder Form

El Paso Teller 911
Field EMD Responder Form

This form is a tool for evaluating the efficiency, accuracy, and effectiveness of the Priority Dispatch System. Please report exceptional services as well as errors. The data assembled will be utilized in assessing the response to various codes, and for Quality Assurance of the Dispatch system.  The Quality Assurance Analysts at the El Paso Teller 911 Authority will review the call and prepare a “word product” response that will be sent to the call takers PSAP Manager for dissemination.  No comments will be returned directly to the responder without Supervisor or Manager approval.

Please provide detailed information to ensure the correct call is reviewed and your specific question is answered.

Name: *
E-mail: *
Agency:*
Date of Incident:*
 /   / 
Time of Call:*
 : 
Address of Occurrence:*
Call Screen #:
Determinant Given:
Was Determinant Given Correct?*
Protocol Used: *
Comments:
Word Verification: