Are you reporting a new AED or updating the information for an AED previously reported? *
Business/Organization Name: *
Your answer
Site (AED) Point of Contact *
Your answer
Telephone Number *
Your answer
Address Where AED is Located *
Your answer
Zip Code *
Choose
02108
02109
02110
02111
02113
02114
02115
02116
02118
02119
02120
02121
02122
02124
02125
02126
02127
02128
02129
02130
02131
02132
02134
02135
02136
02151
02163
02199
02201
02203
02210
02215
02467
Section of the City *
Choose
Allston
Backbay
Brighton
Charlestown
Chinatown
Dorchester
Downtown
East Boston
Fenway
Hyde Park
Jamaica Plain
Mattapan
North End
Roslindale
Roxbury
South Boston
South End
West Roxbury
Exact Location of the AED (office location, room number, floor): *
Your answer
AED Model / Make (Zoll, Phillips, LifePak, Cardiac Science, etc) *
Your answer
Is this AED accessible 24/7? *
If "NO" to the previous question on accessibility, please provide information on when the AED is accessible? If you answered "Yes" to the previous question, please skip to the last question below.
Your answer
Would you or anyone within your organization like to request CPR training?
Clear selection
A copy of your responses will be emailed to the address you provided.