TacMed NJCEMSC Survey

County OEM/EMS Coordinator Name *

First

Last

County OEM/EMS Coordinator Email *

County OEM/EMS Coordinator Phone Number *

What County is your jurisdiction? *

Completed As the: *

Are you currently aware of any organized, law enforcement supporting Tactical Medical Programs within your jurisdiction? *

YES - Continue, and complete 1 survey for each team you are aware of NO - You may Submit without going further

IF Yes, What team has Tactical Medical Support? *

Describe if known, the involvement of Tactical EMS with this team *

IF Yes, which best describes the medical component of this team, if known? *

In-bedded program. They train with, enter, and are a part of a Tactical Operational Team Support program. Part of an organized team, but from a supportive roll Contracted-In-bedded. They are part of a contracted program, that trains with and response with a tactical team Contracted-Support. They are part of a contracted agency, that supports but does not enter with a tactical team Informal- In-bedded: Informal or loose agreements in place. Training & respond as part of the team Informal Support: Usually an oncall, as needed, be there if we need you arraignment RTF - Rescue Task Force only Other:

Other Type of team: *

Name of Tactical Commander *

First

Last

Name of TacMed Unit Leader *

First

Last

Email of Tactical Commander *

Email of TacMed Unit Leader *

Phone Number of Tactical Commander *

Tactical Commanders Agency Affiliation, if known *

Phone Number of TacMed Unit Leader *

If Third-Party or Contract provider, name of Agency/Organization supplying TacMed to team *

Open Comments - Anything you would like to add? *

TacMed Survey - New Jersey County OEM/EMS Coordinators

Telephone

eFax

Email

After Action Survey - NJ PAPAL DEPLOYMENT