Personal information
Name: Ajay King
Phone number:
206-4554
Occupation: Rank/Role
Unemployed
Have you ever been convicted of a crime?: Yes/No
No
Have you recently been convicted of a felony crime?: Yes/No
No
Name: Ajay King
Phone number:
206-4554
Occupation: Rank/Role
Unemployed
Have you ever been convicted of a crime?: Yes/No
No
Have you recently been convicted of a felony crime?: Yes/No
No
Request details
When are you available?:
all the week days
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Department?:
Because in the future I might want to become a medic department.
((Timezone relative to UTC)): UTC+2
GMT+3:30
When are you available?:
all the week days
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Department?:
Because in the future I might want to become a medic department.
((Timezone relative to UTC)): UTC+2
GMT+3:30
By signing this form, you agree to the following terms and conditions:
- I will not interfere with the EMT doing their job.
- I agree to the LSEMS conducting background checks to determine my suitability for a ride along
- I will listen to the EMT's instructions at all times, unless it is to assist in their work.
- The EMT can stop the ride-along at any point at their own discretion.
- I will not bring any weapons.
- If I get injured, the LSEMS can not be held responsible, unless gross misconduct led to the injuries.
- While on scenes with police involved I will remain in the ambulance and will not communicate with anyone.
- I will show I possess common sense.
Signature: FNAME LNAME
Date Signed: MM/DD/YYYY
Date Signed: MM/DD/YYYY
