Company Ad Hoc EMS Training Roster Submission Form

Please use this form to submit only company EMS training requiring entry into High Plains by HCTC staff.

Training submissions must be completed by the end of the shift as they occurred and must include start and end times and length of the training.

Incomplete rosters will be returned and must be resubmitted.











Please attach the saved PDF file. If you are having difficulties with the form call HCTC for assistance.

Hint: Once form is complete simply print as a PDF and save to your desktop.







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