Communication Request Form Contact Us Please enable JavaScript in your browser to complete this form.NameFirstLastEmailPhoneApproval *Do you have supervisor, manager or deputy director approval to send this communication?EMERGENCY COMMUNICATIONSPlease 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. *YesNoCOMMUNICATIONS INFOWhich eGroups should this communication go to?All Medic EmployeesOperations (Field/CMED)Field EmployeesCMED All Admin EmployeesDirectors TeamManagement TeamLead TeamLogisticsFleetITPerformance Improvement (QI, CI, EQS)HRSubject *Distribution Date / Time *DateTimeDo you want to give a certain group(s) 24-hour notice?YesIf yes, who? (i.e. Operations Supervisors, Management Team, etc)Would you like your message distributed on the following optional distribution mediums:DispatchMedTVHot 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 ContactThe person filling out this form is the default contact UNLESS this section is filled out.How should employees contact you for more information?EmailPhoneNameFirstLastEmailPhoneCommentSubmit