4. FIRE/EMS DETAIL REQUEST FORM FOR EVENTS

   Minimum of 3 hours and 2 personnel. Please direct any questions to the Detail Officer at 772-621-3332.

6. Please submit request at least 2 weeks in advance of event.

8. All events are subject to time adjustments. If an event runs over the originally planned time, entities will be billed for the extra time. If an event is concluded earlier than originally planned, entities will be refunded any prepaid unused hours (subject to 3 hour minimum). If an event is canceled, reasonable notice must be given to the District to cancel personnel. If an event is canceled due to weather after personnel arrive, entities will be billed for actual hours worked or 3 hour minimum and travel time.

   
   

   
   

10. Request type (please choose one)*

    1. Festival
    2. School
    3. Sporting
    4. Other
12. Event Details*
14. Name of Event*
16. Please explain if "Other"
17. Number of people expected*
19. Name and title of person requesting detail*
21. Business name bill to*
23. Telephone number*
24. Email address*
26. Event Venue and Address*

    Please list where the event is taking place and the full address.

28. City*
29. State*
30. Zip Code*
32. Start Date & Time*
    Start Date & Time

    Start Date & Time
33. End Date & Time*
    End Date & Time

    End Date & Time
34. Total Hours*
36. Onsite Contact Person*
37. Phone Number*
39. Type of apparatus/equipment needed if applicable *

    1. Ambulance
    2. Gator
    3. Brush Truck
    4. No Apparatus - Medical Bag Only
41. Number of EMS personnel needed (minimum of 2 crew per appartus)*

    Event crews are required to work in pairs when assigned to an apparatus or medical bag.

43. Payment

    All fees must be paid seven (7) days prior to event by check or credit card only.  A 3% transaction fee will be applied to credit card payments. Make check payable to: St. Lucie County Fire District.

45. Mail or deliver payment to:

    St. Lucie County Fire District Attention: Detail Event, 5160 NW Milner Dr, Port St. Lucie, FL 34983. We will send you an invoice via email.

47. Fee Schedule

    Apparatus: Per Hour

    Ambulance $41.50; Brush Truck $42.00; Gator $35.00; 

    Emergency Medical Bag:  No additional Fee

    -Included with the Paramedic/EMT Fee

    SPECIAL EVENT PRICING:

    Ambulance $50 hr

    Gator $25 hr

49. Fire Personnel fee per hour:

    Paramedic/EMT Firefighter $55.00 

     **Holiday Pay: Fire personnel fee will be $65.00 per hour

51. *Additional charge $70.00 per day

    The fee covers pickup, restocking of the apparatus or medical equipment, and the return to quarters.

53. Returned Check Policy

    RETURNED CHECK POLICY FLORIDA STATUTE 832.07:  The following service charges apply to NSF/Returned checks: Check Amounts: $1.00 - $50.00 is a $25.00 service charge; $50.01 - $300.00 is a $30.00 service charge; Checks Over $300.00 is $40.00 or 5%, whichever is greater. Payment is due within 7 days after receiving written notice that such check or draft has not cleared your bank.

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55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit

* indicates a required field