First Responder Organization Registration Name Department Name * Department Representative Name * Preferred Contact Method (Email or Phone) * Email or Phone Number & Ext. * Please attach your list of preferred Unique Identifiers (ADADC, MGICR, 2342, 8513, etc), or the Unique identifier scheme for us to follow (1-200, A-T, etc) from which to select the winning First Responders at your department.
