Standby Request Form

Independence First Aid Squad (IFAS) provides coverage at events throughout the communities we serve. These standbys consist of an ambulance and two certified EMTs to standby at your requested location in the event of an emergency. The most common standbys IFAS completes including sporting events and other large gathering events. A donation or fee may be charged depending on the type of event. Any for-profit event will be charged for our services to attend. To request a stand-by, please complete our Standby Request Form.

* Indicates required field

Requestors Name *

First

Last

Email *

Phone Number *

type of event *

Name of Event *

Location of Event *

Line 1

Line 2

City

State

Zip Code

Country

Date and Time of event *

Description of services requested *