Duchesne County Sheriff

Travis Tucker

SEARCH & RESCUE APPLICATION

Name:

Address:

City:

State:

Zip Code:

Home phone:

Cell:

Work:

Email

Cell Phone Carrier:

Current occupation

EMERGENCY CONTACT

Name:

Relationship:

Address:

City:

Home Phone:

Cell:

Work:

What previous experience, if any, have you had in Search and Rescue?

MEDICAL FIRST RESPONDER SKILLS

What type of first aid or medical training do you have?

Certification

Number

Describe any experience you have had providing emergency medical care?