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SWAT Team Name *

Police Department Name *

City & State/Country *

Does This Team Have Medics *

• Yes
• No

Source of Medics *Fire DepartmentEMSHospitalDoctors, PA, NP, etcPrivateOther

Number of Medics on Team *

SWAT Team Structure *Full-TimePart-TimePool ConceptRegional

Medics & Name

Medic Requirements *

Point of Contact *

First

Last

Phone *

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