Fire/EMS Detail request Form

2. IMPORTANT FEE CHANGE ANNOUNCEMENT
   May 4, 2020

   May 4, 2020

4. Effective July 1, there will be a rate change for fire personnel and apparatus. Please see fee schedule below.

   Effective July 1, there will be a rate change for fire personnel and apparatus. Please see fee schedule below.

6. Apparatus fee per hour: Ambulance $41.50; Brush Truck $42.00 Engine $81.10; Gator $35.00; Ladder $178.00; Tanker $38.00

   Apparatus fee per hour: Ambulance $41.50; Brush Truck $42.00 Engine $81.10; Gator $35.00; Ladder $178.00; Tanker $38.00

8. Fire Personnel fee per hour: Paramedic/EMT Firefighter $40.00 ** On Holidays, Fire Personnel fee will be $50.00 per hour

   Fire Personnel fee per hour: Paramedic/EMT Firefighter $40.00 ** On Holidays, Fire Personnel fee will be $50.00 per hour

10. An Additional charge of $70.00 includes the time for pickup and restocking of the apparatus or medical equipment and the return to quarters.

    An Additional charge of $70.00 includes the time for pickup and restocking of the apparatus or medical equipment and the return to quarters.

12. Please contact us if you have any questions @ 772-621-3332. Thank you for your support.

    Please contact us if you have any questions @ 772-621-3332. Thank you for your support.

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

    Minimum of 3 hours and 2 personnel. Please direct any questions to the Detail Officer at 772-621-3313

20. 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.

    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.

22. Request type (please choose one)*

    1. Festival
    2. School
    3. Sporting
    4. Other
24. Please explain request type*

26. Name of event*

28. Number of people expected*

30. Name and title of person requesting detail*

32. Business name bill to*

34. Telephone number*

35. Email address*

37. Address of Event*

39. City*

40. State*

41. Zip Code*

43. Start Date & Time*
    Start Date & Time

    Start Date & Time

44. End Date & Time*
    End Date & Time

    End Date & Time

45. Total Hours*

47. Contact Person at the scene (if applicable)

48. Phone Number

50. Type of apparatus needed (please check ALL that apply)*

    1. Ambulance
    2. Gator
    3. Brush Truck
    4. Engine
    5. Ladder
    6. Tanker
    7. Other
52. Please explain "Other"

54. Number of personnel needed (minimum of 2)*

56. Payment
    All fees must be paid seven (7) days prior to Event by cash or check ONLY. No credit cards are accepted. Make check payable to: St. Lucie County Fire District.

    All fees must be paid seven (7) days prior to Event by cash or check ONLY. No credit cards are accepted. Make check payable to: St. Lucie County Fire District.

58. 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.

    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.

60. 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

    Apparatus fee per hour: Ambulance $41.50; Brush Truck $42.00 Engine $81.10; Gator $35.00; Ladder $178.00; Tanker $38.00

62. Fire Personnel fee per hour: Paramedic/EMT Firefighter $40.00 **On holidays, Fire personnel fee will be $50.00 per hour

    Fire Personnel fee per hour: Paramedic/EMT Firefighter $40.00 **On holidays, Fire personnel fee will be $50.00 per hour

64. *An Additional charge of $70.00 includes the time for pickup and restocking of the apparatus or medical equipment and the return to quarters.

    *An Additional charge of $70.00 includes the time for pickup and restocking of the apparatus or medical equipment and the return to quarters.

66. 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.

    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.

Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit

* indicates a required field