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Franklin CountyEMS Volunteer Personnel Check Sheet

Personnel Check Sheet and Approval Guidelines

All personnel volunteer and career that provide emergency medical care in the Franklin County EMS System must be approved by the Franklin County EMS System Medical Director and the Director, Office of Emergency Services. To expedite this process the following guidelines have been established.

All new members or prospective members will have the following areas/items checked and verified by FC OES staff.

OEMS Credentials

Some providers do allow non-certified persons to join or have cadet programs, this item would not apply to those personnel. As these personnel receive EMS credentials a copy of those credentials will be forwarded to the FC OES. It is a violation of state law and the EMS System Plan for an individual that does not hold a valid EMS credential to provide medical care. Exception; Personnel enrolled in an OEMS approved EMS course.

Training Records

To establish where personnel are in regards to their educational requirements.

Professional References

Drivers License Check

Criminal Background Check

Drug Screen

Have applicant contact the OES for appointment/instructions.

Emergency Vehicle Operation

Will be completed within probationary period (max 12 months) if applicant does not have proof of course.

EMS System Orientation

Will be completed within initial three months.

Instructions

  1. Have applicant complete Personnel Information,
  2. Attach any pertinent information,
  3. Attach squad’s application

Forward to the Office of Emergency Services.

Franklin County Office of Emergency Services

Volunteer Personnel Check Sheet

Approvals                                                                                        Personal Information

 

Name:

Street Address:

Mailing Address:

Phone #’s  Home

OEMS Credential Level:

 

Emergency Contact Information:

 

 

ACTION

 

 

OEMS Credential Check

 

Training Records

 

Professional References

 

Drivers License Check

 

Criminal Background Check

Drug Screen

Emergency Vehicle Operation

EMS System Orientation

 

Medical Director Approval

↑ Medical Directors Signature / Date ↑

 

Director, Office of Emergency Services Approval

↑Director, OES Signature/Date ↑

 

 

 

 

Special Restrictions (Medical Director)

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