Dispatch Agency Information

 

Agency:		Agency Number:
Type:	PD?FD?EMS?Guard?	Main Dispatch Phone:
State:		Alt. Dispatch Phone:
Dispatch Type:		Non-Emergency Phone:
		Fax Phone:
	User permit required?	Permit Office Phone:
	No dispatch without permit?
	Callout must respond on second dispatch?
	Central One must register alarm systems?	Form Number:

False Alarm:	First	Second	Third	Fourth	Fifth	Sixth
Fine: