Dane County Emergency Medical Services: 115 W Doty St. Madison, WI 53703-3202; (608) 266-4387
Dane County
Emergency Medical Services
115 W. Doty St.
Public Safety Building RM 2107
Madison, WI 53703-3202
Phone:(608) 266-4387
Fax: (608) 266-4500


The following forms are for use by EMS District Directors, Training Directors, or designees. Forms that can be completed and submitted on-line will require a password; the password may be obtained by calling the Dane County EMS office at 608.266.4387. Otherwise, the forms will require MS Word or Adobe Acrobat.

Upon completing the MS Word and Adobe forms, print, sign, and fax to the Dane County EMS office at 608.266.4500.

Helpful Hints: When completing MS Word electronic forms, use the tab key or arrow keys to navigate within the form. Press the space bar to “check” a box. Call the Dane County EMS office if you need further assistance.

Make sure all proper signatures are included on the forms at the time of submission.

Adobe Acrobat

On-Line (password required)

MS Word