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[b]Directed to:[/b] EMS Command Staff[b]Violators:[/b][i]EMT/Paramedics Name[/i] - Short description of the violation and incident. A. Pictures. B. Other evidence.[b]Date:[/b] Day - Date.[b]Civilian(s) involved:[/b] (Names)[b]Witnesses:[/b] (Names)[b]Were police involved?:[/b] Yes/No[b]If so, what was the conclusion?:[b] (explain here)By signing below, I agree that I will uphold my statement, completely unaltered, in the San Andreas Court of Law, should this investigation reach such extent.Signed, Your Name