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Washington County, Oregon
County Home
Health and Human Services
Emergency Medical Services
CPR, AED & First Aid
AED Registration Form
AED Registration Form
Fields with an asterisk (*) are required.
Company name:
*
Company mailing address:
*
Company physical address
(if different than above)
:
Site name
(if different from business name)
:
Site/business contact name:
*
Contact email:
Contact phone:
*
(
)
-
Where is/are the AED located in the building
(brief description)
:
*
AED Manufacturer:
*
Number of units on site:
*
AED model name:
*
Additional comments:
Would you like information on CPR and/or AED training?
This is a revision to a previous AED Registration
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