2. 
4. 

6. "Saving Lives one Call at a time"

8. This request form is for EMS | Rescue Agencies that are supported by 911 ECOM. Use this form to report: CAD investigative inquiry, Phone or Radio recorded transmissions.

10. Email Address:*
12. Date Request or Occurred:*
    Date Request or Occurred:
13. Time Request or Occurred:*
    Time Request or Occurred:
15. Location of incident:*
17. CAD Report Number:
19. Investigation Report From:

    1. Iredell County EMS
    2. Iredell Rescue
    3. North Iredell Rescue
    4. EMS/Rescue Other
21. Other source:

25. Individual Requesting Investigation

     

    Name:
27. Address:
29. City
30. State
31. Zip
33. Home Phone:
35. Business Phone:
37. Business Email:
39. Nature of Investigation

    1. Call Processing
    2. Dispatch Times
    3. Protocol/GOG variance
    4. Customer Service
    5. CAD Reports
    6. Other
41. Other complaint details:
43. Description of Incident:
45. Online Signature*

    1. I agree to the Terms of this form
47. By checking the "I Agree" box above, you agree that (1) This constitutes your signature under any applicable law or regulation; (2) you authorize Iredell County's Emergency Communications 911 Department and its managers, lawyers, directors, employees and representatives to make any inquiries necessary to investigate any dispute relating to your use of this Online Investigative Report. (3) The term of this Investigative Report is valid for 1 year from Date of Request.
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field