*1.Name of Entity(Required.)

Andrews City/County EMS

Allegiance Mobile Health (Big Springs)

City Ambulance (McCamey)

City of Presido EMS

1st Response Crane 

Emergent Air  (Alpine)

Glasscock County Volunteer EMS

Jeff Davis County Ambulance

Marfa City-County EMS

Martin County EMS

Midland Fire Dept.

Odessa Fire Rescue

Pecos County EMS

Rankin Hosp. District EMS

Reeves CO ESD 2 

Terlingua Fire & EMS

Terrell EMS

Ward County EMS

Winkler County EMS

*2.Name of person completing report.(Required.)

*3.Reporting Period(Required.)

1st Quarter - January through March (Due May 15)

2nd Quarter - April through June (Due August 15th)

3rd Quarter - July through September (Due Nov 15th)

4th Quarter - October through December (Due Feb 15th)