On behalf of the EMS Community, we thank you for your generosity! Through the collection of this survey information, a database will be developed for those willing to give and those in need. Please fill out the following request which will be posted for public viewing on the Department website at www.state.nj.us/health.ems. It will be up to agencies in need to contact you regarding donations matching their needs. All arrangements for delivery and/or tax information of the gift are between you and the recipient.