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6. Woodland Fire Department

   AED stands for automated external defibrillator. It is important to know how to use an AED because a victim's chance of survival decreases by 10% every minute after a sudden cardiac arrest. You can help save a life by retrieving and using an AED before EMS arrives.

   If you are a local business owner in Woodland and you have an AED(s) in your business, please complete the following form, so we can register it with our PulsePoint app.

10. BUSINESS INFORMATION
12. Business Name*
14. Business Address*
15. Suite
17. City
18. State
19. Zip Code
21. Business Contact Name*
22. Business Email Address
24. Business Phone Number
25. Is access restricted?*

    Is the access to the AED in a restricted area for the public?

    1. Yes
    2. No
27. Business Operating Days*

    Please select all the days your business is open.

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
28. Hours of Operation:*

    Please list the normal hours your business is open

32. AED INFORMATION
34. How many AEDs does your business have?*
    -- Select One --123456
36. AED Locations*

    Please list the location of the AED(s) in your business (i.e. Lobby, breakroom, etc.).

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39. AED Location Photographs

    Please take a photo(s) of the AED(s) showing their location inside your business and upload it here.

40. Photo Upload(s)
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field