EMD Responder Form

El Paso/Teller County E911
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.

Name: *
E-mail: *
Date: *
 /  / 
Time: *
 : 
Address of Occurance: *
Call Screen #:
Disptach Given:
Was Code Given Correct? *
Protocol Used: *
Comments:
Word Verification:

Please include as much information as possible in this form.

ALL COMMENTS WILL BE RETURNED TO PSAP MANAGER OR REQUESTING SUPERVISOR AS A WORK PRODUCT. No comments will be returned directly to the call taker or dispatcher without Supervisor or Manager approval.