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Event Request Form

  1. Emergency Medical Services Event Request
    The Events division of East Baton Rouge EMS provides several services to the citizens of our community. Please utilize this form to request coverage for your event.
  2. Name of business or Address
  3. Note
    Please note that the submission of this form does not guarantee approval. Certain large public events may take priority over private events. A fee may be charged for non-charitable private functions.
  4. Leave This Blank:

  5. This field is not part of the form submission.