Team Listing Submission Form

YOUR CONTACT INFORMATION

First name

Last name

Job Title

Email

Code

Phone

Address

Team/Agency Name

YOUR TEAM INFORMATION

Service Area (County/Parish/Region)

State

Current Team Status *

In Operation

In Process

Interested

Non-Scene Response

Team/Agency Website (if available)

Year of Launch

Additional Information you think may be helpful (may not be listed).

Thanks for submitting!

Please note: the LOSSteam.com website is not intended to provide help in a crisis. If you are feeling suicidal or need help for
yourself or someone you know, please consult IASP's Suicide Prevention Resources to find a crisis center anywhere in the world.
In the US, dial 988 for a free suicide prevention service or visit 988lifeline.org.

Up

Questions? Contact Us

bottom of page