4. FIRE/EMS DETAIL REQUEST FORM
   Minimum of 3 hours and 2 personnel. Please direct any questions to the Detail Officer at 772-621-3313

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. Please explain request type*
14. Name of event*
16. Number of people expected*
18. Name and title of person requesting detail*
20. Business name bill to*
22. Telephone number*
23. Email address*
25. Address of Event*
27. City*
28. State*
29. Zip Code*
31. Start Date & Time*
    Start Date & Time

    Start Date & Time
32. End Date & Time*
    End Date & Time

    End Date & Time
33. Total Hours*
35. Contact Person at the scene (if applicable)
36. Phone Number
38. Type of apparatus needed (please check ALL that apply)*

    1. Ambulance
    2. Gator
    3. Brush Truck
    4. Engine
    5. Ladder
    6. Tanker
    7. Other
40. Please explain "Other"
42. Number of personnel needed (minimum of 2)*
44. 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.

46. 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.
48. Fee Schedule
    Apparatus fee per hour: Ambulance $41.50; Brush Truck $42.00 Engine $81.10; Gator $35.00; Ladder $178.00; Tanker $38.00
50. Fire Personnel fee per hour: Paramedic/EMT Firefighter $40.00 **On holidays, Fire personnel fee will be $50.00 per hour
52. *An Additional charge of $70.00 includes the time for pickup and restocking of the apparatus or medical equipment and the return to quarters.
54. 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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56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

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