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EMT Verification Report Mobile App

The EMT Verification Report mobile app was developed to replace your current EMT Verification Report health department paper form. The app can be modified to your states health department’s specifications. You can customize the app yourself, or contact our Sales team to help you at Sales@GoCanvas.com. We can completely customize the GoCanvas PDF to match your current form!

  • Lendlease
  • The Cooperative
  • PG&E
  • Toys R Us
  • Red Bull
  • Mirvac

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Take a peek inside the EMT Verification Report Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Provider Name

  • Ico textbox

    Telephone Number

  • Ico textbox

    Fax Number

  • Ico textbox

    Name of Person Requesting

  • Ico signature

    Signature

  • Ico date

    Date

  • Ico textbox

    Name of Provider

  • Ico textbox

    ID Number

  • Ico textbox

    Level of Provider

  • Ico textbox

    Status

  • Ico textbox

    Actions

  • Ico date

    Expiration

  • Ico date

    Initial Certification Date

  • Ico textbox

    Verifying OEMS Staff

  • Ico textbox

    Date

  • ...and More!

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