Page 2 Emergency Medical Services Event Request Form Please list each event/game on a single line. If you have multiple events/games back to back on the same day, please list the events/games separately. Feel free to duplicate this page and add it below if there are more than 20 events/games. You can look at our EMS calendar at any time to make sure your events have been entered and are correct. Go to http://www.dem.umn.edu/umems/ and click on Please contact for access. “calendar.” Total time(rounded REPORT TIME: to the Event/Athletic Opponent EVENT START-END nearest hour Name Location Date TIME: for billing) REPORT:3:30pm I.E i.e.: Minnesota vs Alberta 3M Arena at Mariucci 10/1/17 5 hours START-END:5pm-8:30pm REPORT: 1 START-END: REPORT: 2 START-END: REPORT: 3 START-END: REPORT: 4 START-END: REPORT: 5 REPORT: 6 START-END: REPORT: 7 START-END: REPORT: 8 START-END: REPORT: 9 START-END: REPORT: 10 START-END: REPORT: 11 START-END: REPORT: 12 START-END: REPORT: 13 START-END: REPORT: 14 START-END: REPORT: 15 START-END: REPORT: 16 START-END: REPORT: 17 START-END: REPORT: 18 START-END: REPORT: 19 START-END:
Page 2 Emergency Medical Services Event Request Form Please list each event/game on a single line. If you have multiple events/games back to back on the same day, please list the events/games separately. Feel free to duplicate this page and add it below if there are more than 20 events/games. You can look at our EMS calendar at any time to make sure your events have been entered and are correct. Go to http://www.dem.umn.edu/umems/ and click on “calendar.” Please contact for access. Event/Athletic Opponent Name Location Date REPORT TIME: EVENT START-END TIME: Total time(rounded to the nearest hour for billing) I.E i.e.: Minnesota vs Alberta 3M Arena at Mariucci 10/1/17 REPORT:3:30pm START-END:5pm-8:30pm 5 hours 1 REPORT: START-END: 2 REPORT: START-END: 3 REPORT: START-END: 4 REPORT: START-END: 5 REPORT: 6 REPORT: START-END: 7 REPORT: START-END: 8 REPORT: START-END: 9 REPORT: START-END: 10 REPORT: START-END: 11 REPORT: START-END: 12 REPORT: START-END: 13 REPORT: START-END: 14 REPORT: START-END: 15 REPORT: START-END: 16 REPORT: START-END: 17 REPORT: START-END: 18 REPORT: START-END: 19 REPORT: START-END: