Communication Request Form | Emergency Medical Services Charlotte NC

Name

First

Last

Email

Phone

Approval *

Do you have supervisor, manager or deputy director approval to send this communication?

EMERGENCY COMMUNICATIONS

Please note: all emergency communications must have PR Supervisor approval prior to distribution.

Is this an EMERGENCY communication? Check YES if your communication references an immediate threat to person or property only. *

Yes
No

COMMUNICATIONS INFO

Which eGroups should this communication go to?

Subject *

Distribution Date / Time *

Date

Time

Do you want to give a certain group(s) 24-hour notice?

Yes

If yes, who? (i.e. Operations Supervisors, Management Team, etc)

Would you like your message distributed on the following optional distribution mediums:

Dispatch
MedTV
Hot Sheets (PR Supervisor Approval Needed)
CAD Page (PR Supervisor Approval Needed)
Logistics' Window Flyer (PR Supervisor Approval Needed)
Video Content (PR Supervisor Approval Needed)
I will Yammer

*Remember that we encourage all members of the leadership to post their own communications on Yammer (in your own voice). Please post after formal communications are sent by PR.

If applicable, what is your CAD page message?

What is your email message? *

Upload additional documents / images

Click or drag files to this area to upload. You can upload up to 5 files.

Each file size must be 5MBs or smaller.

Do you have any special requests or directions for us?

Point of Contact

The person filling out this form is the default contact UNLESS this section is filled out.

How should employees contact you for more information?

Email
Phone

Name

First

Last

Email

Phone