Automated External Defibrillator Loaner Application

Niagara's Automated External Defibrillator Loaner Program can provide a defibrillator up to 72 hours for events.

Eligibility

To be eligible for this program, applicants must:

Ensure there will be an adequately trained person(s) on site during the event
Show a copy of a valid first aid / CPR card and a valid photo ID (such as a driver's licence) when picking up the equipment
Submit an application two weeks before the event

* = Required

Contact Information

* First Name

* Last Name

* Address

* City

* Phone

* Email

* Are you First Aid / CPR Certified? Yes
No

Event Information

* Type of Event

* Event Name

* Expected Attendance

* Start Date

* End Date

Notice of Collection

Any personal information or personal health information submitted will be collected, used, and disclosed, where applicable, by members of Regional staff according to the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act. Any information you share will only be used for the intended purpose for which it was provided.

For questions or comments about privacy practices, or for more information about the administration of the Municipal Freedom of Information and Protection of Privacy Act in Niagara Region programs, see Freedom of Information and Open Government.

Public Health

Paramedics, Dispatch

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