BLS Response Contact Information  
Company Name: *
Email: *
Address: City, State, Zip  *
Phone number *
Site Location/Address (Where you want EMS responding) *
Services requesting  *
Required
REPORTING INFORMATION (Who will be receiving reports) please list below.
First/Last Name:
Phone Number:
Email Address:
 *
*Disclaimer: OTF is a fee-for-service only company. We send invoices via email to the designated contact(s) listed above. Our payment terms are NET 15. All accounts will be subject to a credit hold for invoices more than 60 days past due. All invoices will incur a late fee of 2% after 30 days past due, 3% after 60 days past due; with an additional $20 collection fee after 90 days. 

All miscellaneous site fees, including but not limited to: Parking, Badge fees, etc. will be billed as straight reimbursement to the customer.

 All site visits have an $300.00 minimum fee, If we are scheduled after hours: (After 5pm and before 6am on weekdays or anytime on weekends or Holidays.)  
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