Related to Emergency Medical Notification System
Updated: April 2nd, 2021
PDF format
It is in PDF file format, so please print it out and use it.
Note : Plain paper is recommended for print paper, and A4 or B5 print sizes are recommended.
Thermal paper for thermal printers cannot be accepted.
Form No. 1 Agent Appointment Notification (PDF: 92KB)
Emergency medical report form (PDF: 102KB)
Word/Excel format
It is in word and excel file format, so please print it out and use it.
Note : Plain paper is recommended for print paper, and A4 or B5 print sizes are recommended.
Thermal paper for thermal printers cannot be accepted.
Form No. 1 Agent Appointment Notification (Word: 16KB)
Emergency medical report form (Excel: 59KB)
Adobe Acrobat Reader DC (formerly Adobe Reader) is required to open PDF format files.
If you don't have it, you can download it for free from Adobe.
Download Adobe Acrobat Reader DC
Inquiries about this page
Inagi City Fire Department Headquarters Security Division
2111 Higashi Naganuma, Inagi City, Tokyo (Inagi Fire Station)
Phone: 042-377-7119 Fax: 042-377-0119
