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My Medic
Siren Request Form
E-Pro Scheduler
Faces
Medic Store
Employee Discounts
Business Card Orders
Communication Request Form
Funeral Announcements
Incentives and Recognition
Performance Pay
EMT to Paramedic Program
Commendations
Ops
Situation Report
Uniforms
HR
HR Resources
ADMINISTRATIVE PERFORMANCE REVIEW TOOL
Standards of Behavior
Teleworking Resources
Interview Preparation
Risk and Safety
Operating Agency Vehicles
Vehicle Accidents
Driver Training Tools
THE SAFETY COMMITTEE
PERSONAL PROTECTIVE EQUIPMENT
HAZARD COMMUNICATIONS
Employee Health
ON THE JOB INJURIES
MODIFIED DUTY-Not OJI related
FAMILY MEDICAL LEAVE ACT
FMLA Procedures
ERGONOMICS AND PATIENT HANDLING
Respiratory Protection
Compensation
Pay Information
Performance Evaluations
Compensation Policies
Employee Benefits
Medical, Dental & Vision
Paid Time Off
2023 & 2024 Pay Periods and Holidays
Leave of Absence
Flex Spending Accounts
Tuition Reimbursement
Health Savings Account
EAP (Employee Assistance Program)
Life Insurance & Disability
COBRA
Retiree Medical Insurance
Retirement Plans
NCLGERS
NC State Prudential
ICMA 457 Savings Plan
NCAR&EMS
Worker Pension Fund
Forms
MedConnect
Wellness Resources
Medical Physical Ability Test
Tobacco-free Tools
Health Matters
Learning + Development
Clinical Improvement
Professional License Requirements
PediDose
Research Studies
Dr. Swanson’s Memos
Contact Learning & Development
Diversity Resource Group
Meet DRG’s Members
DRG Events
DRG Resources
For more information, please contact Ute Dorflinger at
uted@medic911.com
.
Siren Request Form
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Date of Request
*
Requester's Name (Subject Matter Expert)
*
Department / Team
*
Authorizing Mgr / DD's Name
*
Proposed Deadline
*
Needs Immediate Attention
Needs "First Available" Attention
Applicable for Quarterly Inclusion Update
Select One
Tell us about your request...
Does this project have a Pull Card or Charter?
*
Yes
No
Upload Pull Card / Charter
Click or drag a file to this area to upload.
Does this project have a Project Map?
*
Yes
No
Upload Project Map
Click or drag a file to this area to upload.
Description of Change
*
Intended / Expected Outcome
*
Checkboxes
*
Billng
Operations / Field
CAD
State
QI / Data Warehouse
Research
Other Department Names
List "Other" Departments
How does this impact each department?
Does this request involve SIREN fields used to create current mandatories?
*
Yes
No
Unknown
Does this change require new mandatories or updates to existing mandatories? If so, please explain proposed changes...
*
Do you (or a department rep) have the bandwidth to participate in a weekly check-in meeting and implementation as the project evolves?
*
Yes
No
Notes
Captcha
*
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Comment
Submit
My Medic
Siren Request Form
E-Pro Scheduler
Faces
Medic Store
Employee Discounts
Business Card Orders
Communication Request Form
Funeral Announcements
Incentives and Recognition
Performance Pay
EMT to Paramedic Program
Commendations
Ops
Situation Report
Uniforms
HR
HR Resources
ADMINISTRATIVE PERFORMANCE REVIEW TOOL
Standards of Behavior
Teleworking Resources
Interview Preparation
Risk and Safety
Operating Agency Vehicles
Vehicle Accidents
Driver Training Tools
THE SAFETY COMMITTEE
PERSONAL PROTECTIVE EQUIPMENT
HAZARD COMMUNICATIONS
Employee Health
ON THE JOB INJURIES
MODIFIED DUTY-Not OJI related
FAMILY MEDICAL LEAVE ACT
FMLA Procedures
ERGONOMICS AND PATIENT HANDLING
Respiratory Protection
Compensation
Pay Information
Performance Evaluations
Compensation Policies
Employee Benefits
Medical, Dental & Vision
Paid Time Off
2023 & 2024 Pay Periods and Holidays
Leave of Absence
Flex Spending Accounts
Tuition Reimbursement
Health Savings Account
EAP (Employee Assistance Program)
Life Insurance & Disability
COBRA
Retiree Medical Insurance
Retirement Plans
NCLGERS
NC State Prudential
ICMA 457 Savings Plan
NCAR&EMS
Worker Pension Fund
Forms
MedConnect
Wellness Resources
Medical Physical Ability Test
Tobacco-free Tools
Health Matters
Learning + Development
Clinical Improvement
Professional License Requirements
PediDose
Research Studies
Dr. Swanson’s Memos
Contact Learning & Development
Diversity Resource Group
Meet DRG’s Members
DRG Events
DRG Resources