*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

Loving County 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 April 30th)

2nd Quarter - April through June (Due July 30th)

3rd Quarter - July through September (Due October 30th)

4th Quarter - October through December (Due January 30th)