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2. Emergency Dispatch Responder Form

   This form is a tool for evaluating the efficiency, accuracy, and effectiveness of the Priority Dispatch System. Please report exceptional services as well as errors. The data assembled will be utilized in assessing the response to various codes, and for Quality Assurance of the dispatch system.

   
   

   The Quality Assurance Analysts at the El Paso Teller 911 Authority will review the call and prepare a word product response that will be sent to the call takers Public Safety Answering Point (PSAP) Manager for dissemination. No comments will be returned directly to the responder without supervisor or manager approval.

   
   

   Please provide detailed information to ensure the correct call is reviewed and your specific question is answered.

4. Name*
6. Email Address*
8. Agency*
10. Date of Incident*
    Date of Incident
11. Time of Call*
    Time of Call
13. Address of Occurrence*
15. Call Screen Number
16. Determinant Given
18. Was determinant given correct?*

    1. Yes

    1. No
20. Protocol Used*

    1. Fire
    2. Medical
    3. Police
22. Comments*
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field