Alameda County

Public EMS Event Reporting Form


For ambulance billing inquiries or complaints, please reach out directly to the appropriate emergency transport provider:


  • Alameda City Fire Department: (800) 906-6552
  • Albany Fire Department: (510) 528-5730
  • Berkeley Fire Department: (800) 906-6552
  • Falck: (844) 622-3926
  • Piedmont Fire Department: (800) 906-6552


This form is designed for use by the general public and is not intended for EMS personnel within the system

 

Reporting Party Information

 
 
 
 
Phone
 
 

EMS Event Information

 
 
mm/dd/yyyy
 

Please provide an event summary, including any actions taken. Maximum of 4000 characters.

 
 

Attach relevant documents if needed

Drop your files here
 
 

Confirmation Email (Recommended)

To receive a copy of your EMS event report, select "Send me a copy of my responses" below and re-enter your email address. Unavailable for anonymous submissions.