City of Boston
 
 
Emergency Medical Services
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City Departments
EMS Commendation / Complaint Form
This form may be used to make formal commendations or complaints about the service provided by Boston EMS.
Contact Information
First Name:
Last Name:
Address:
City:
State:
Zip:
Email Address:
Phone Number:
Secondary Number:
Incident Details
Category: Commendation
Complaint
Date of Incident:
MM/DD/YYYY
Time of Incident:
Location of Incident:
Name of EMS
employee(s):
(if known)
Description of Incident:

 

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