Local Event

PAPEL VISIT 2015
Report Local Event

Use this form to report a local event that may be occurring anywhere in NJ during the period of September 20 through September 30, 2015.

* Indicates required field

Reporting Person *

First

Last

Title/Agency *

Phone Number *

Email *

Select One *

Name of Event *

Date(s) & Time(s) *

Location(s) *

County(ies) affected *

Estimated Number Attendees *

EMS Resources ASSIGNED *

EMS Resources NEEDED *

Comment - Include Risk of Escalation of Event *

Submit