Eclipse Government

Personal information
Name: Jaquan Freeman

Phone number: 404-1526

Occupation: idk

Have you ever been convicted of a crime?: No

Have you recently been convicted of a felony crime?: No

Request details
When are you available?:
Answer

Why do you wish to go on a ride-along with the Los Santos Emergency Medical Department?:
I wanna see the cool ambulances and the doctors

((Timezone relative to UTC)): UTC+5

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: Jaquan Freeman
Date Signed: FEB/29/2020

Dear Mr. Freeman,

Your ride-along request with the Los Santos Emergency Medical Services has been DENIED. We would like to thank you for showing interest within our ride-along program, however it has been denied due to the following reasons.

• Lack of information regarding your occupation
• You failed to inform on the application the times you are available

Sincerely,

Noah Carlile
EMT A / Firefighter
Los Santos Emergency Medical Services