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2025 EMS Bronze Application

EMS Safety & Loss Control Recognition Awards Application

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DUE DATE: 01/22/2025

BRONZE LEVEL

To achieve a Bronze Level award, your service must comply with each of the following items. Please answer yes or no to the questions below and attach the appropriate information/documentation where requested.
* Table of Contents page and dates adopted and/or revised * If submitted previously, only send a new copy if revised. Note in comments if previously submitted. Comments:
Untitled(Required)
Drop files here or
Accepted file types: jpg, pdf, Max. file size: 2 GB, Max. files: 15.
    Comments:
    Untitled(Required)
    Drop files here or
    Accepted file types: jpg, pdf, Max. file size: 2 GB, Max. files: 15.
      * Table of contents page and dates adopted and/or revised * If submitted previously, only send a new copy if revised. Note in comments if previously submitted. Comments:
      Untitled(Required)
      Drop files here or
      Accepted file types: jpg, pdf, Max. file size: 2 GB, Max. files: 15.
        Comments:
        Untitled(Required)
        Comments:
        Untitled(Required)
        Comments:
        Untitled(Required)
        Comments:
        Untitled(Required)
        Comments:
        Untitled(Required)
        Comments:
        Untitled(Required)
        Comments:
        Untitled(Required)
        Drop files here or
        Accepted file types: jpg, pdf, Max. file size: 2 GB, Max. files: 15.
          Safety Benefits, Inc. South Dakota

          Safety Benefits Inc.
          602 E. State Street
          Plankinton SD 57368

          605.334.9567
          888.313.0839

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