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Bleeding Kit Resupply Request

 

 

First Hands Bleeding Control Kit Replacement Request



* = Required Fields

 
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Agency Incident Report Number




Responder Category





Bleeding Control Kit Contents*




 
Are you able to upload a copy of the incident report?
Did you utilize MS MED-COM during this incident?
Did you utilize the MSWIN radio system during this incident?
Did you utilize your personal cell phone during this incident?

*.txt,*.doc,*.docx,*.xls,*.xlsx,*.pdf
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