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City of Lincoln
Fire & Rescue Department

Automatic External Defibrillator (AED) Registration

 

*Are you updating a registration today or creating a new registration?
New
Updating
*Business/Site Name
*Physical Address
*Primary Contact Person
*Phone
*Secondary Contact Name
*Phone
*Total number of CPR/AED Trained Persons on site
*AED Product Type
*Manufacturer
*AED Purchased From
*Number of AED Machines on Site
*AED Location
*Service Date
*Service By
*Serial #
*Your comments and questions:
* fields required to submit this form

If you do not have internet service you can:

Mail to:
Lincoln Fire & Rescue
ATTN: AED Registration
1801 "Q" Street
Lincoln, NE 68508

Or Fax to us at: (402) 441-8292


Fire & Rescue Department