OCMO: Online AED Registration for Austin and Travis County - Formstack

Online AED Registration for Austin and Travis County

All publicly placed Automated External Defibrillators (AEDs) should be registered with your local Emergency Response Agency.

For any AED in the City of Austin or Travis County use this form to register a new AED or notify us of change in location of an existing AED, or email: EMSCADSupport@austintexas.gov. If you have any questions about CPR or AED training, contact EMS Community Outreach by email: EMSPubEd@austintexas.gov.

AED Program Information

Organization Name *

Contact Name*

First Name

Last Name

Phone Number or Email *

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

AED Information

Number of AEDs

Address (if different from above)

Address Line 1

Address Line 2

City

State

ZIP Code

Specific AED location within building

Example: 1st floor by elevator

CPR / AED Training

Would you like more information on CPR / AED Certification training?*

Yes No

Would you like more information on TAKE 10 compression only training? This program has no cost but does NOT provide certification *

Yes No