SEMINOLE COUNTY GOVERNMENT
Florida's Natural Choice
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CONTACT INFORMATION

Administration Office
150 Bush Blvd.
Sanford, FL 32773
 
 
Animal Services
Phone: (407) 665-5201


Adult Probation
Phone: (407) 665-4603


County Addressing
Phone: (407) 665-5045


E-911 Administration
Phone: (407) 665-5911


Emergency Communications 
24 Hour Non Emergency Line
Phone: (407) 665-5100


Emergency Management
Phone: (407) 665-5102


EMS/Fire/Rescue
Administration Office
Phone: (407) 665-5175


Public Safety Director
Phone: (407) 665-5000
 




Public Safety


AED Registration

EMS QUALITY ASSURANCE
COMMUNITY AED RESPONDER ENHANCEMENT
(C.A.R.E.) PROGRAM
ONLINE REGISTRATION FORM

To register your AED (Automated External Defibrillator) with local emergency service agencies within Seminole County, please fill out the following online form or click here to download a printable AED registration form [PDF]. Mail printable form to Public Safety AED Coordinator; 150 Bush Blvd; Sanford FL 32773 or Fax to 407-665-5048. If you have any questions, please contact LuWayne Ransom at 407-665-5038.

     
* Indicates Required Field

AED Owner's / Company Name:


Enter the name of the organization or individual that owns the AED   *
 

Select the organization or individual entity that owns the AED   *
 

AED Prescribing Physician's Contact Information:


Please enter the name of the physician who prescribed the AED. This physician is responsible for the appointment of an AED coordinator; development and review of policies and procedures that define standard of patient care and use of the AED; supervision of a quality improvement program, including review of response documentation and rescue data for all application of the AED; oversight of in-house and continuing AED training; providing advice regarding medical direction activities.

Physician's Name:
 

Address
 
Address 2
 
City    State    Zip Code
           

Phone Number
 
Example: 555-555-5555

AED Primary Coordinator's Contact Information:


Enter the name of the individual who has been appointed by the physician to serve as the primary AED coordinator. AED programs primary coordinator will be responsible for a written plan and documentation of the AED maintenance program.

AED Primary Coordinator's Name:   *
 

Address *
 
Address 2
 
City *    State *    Zip Code *
           

Phone Number *
 
Example: 555-555-5555

Email
 
Example: yourname@domain.com

AED Equipment Information:



AED Manufacturer:   *
 

AED Model Number:   *
 

AED Serial Number:   *
 

Where is the AED Located?


Please note: Local EMS agencies will be notified of your AED registration based on the address information entered below. Please be sure and put the address where the AED is physically located rather than your corporate headquarters or other address.

Location / Building Name:   *
 

Address *
 
Address 2
 
City *    State *    Zip Code *
           

Alarmed Locked AED Cabinet:
 

Where is the AED located at the address? Be as specific as possible   *
 

What is your CPR/AED training status?   *
 

Please push Submit Form button only once.

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