City of Boston
 
 
Emergency Medical Services
Contact Us
 
City Departments
AED Location Form
 

Please use this form to report the location of an AED or to update previously reported information. If you have questions, please email aed@bostonems.org or contact Deputy Superintendent Claire McNeil, RN, EMT-P at 617-343-1115. This form is also available in PDF format to download and print.

* Required fields

General Information
Company Name: *
Address:
Street #
Street Address

* *
Section of City
5 or 9 Digit Zip Code

* *
 
Telephone:
Main Phone #
() - *    
Secondary #
() -    
 
AED Coordinator Information
AED Site Coordinator Name:
First Name
Last Name
* *
Department: *
Contact Person:
(if different from coordinator)
Email: *  
Telephone:
Tel #
() - *    
Fax #
() -    
Are you up to date with CPR training?
Do you or anyone in your organization wish to be CPR trained?
 
AED Location(s)
AED Location:
Add another location
Address (if different from address in the "General Information" section)




Exact location of AED/s (e.g. in lobby behind desk on left wall)

*
Floor Room/Suite AED Make Available 24/7?
* * * *

Are you reporting a new AED or updating information?

*

Other Information
Comments/Special Instructions


 
Text Size: XX-Small Font Size X-Small Font Size Small Font Size

     
Privacy & Security Divider © 2014 City of Boston. All rights reserved.