EMP Forms

Downloadable Forms

The following forms can be downloaded and printed for your convenience. If you have questions about these forms, please contact Customer Service.

 

I’d like to…order

The fastest and easiest way to order is to place your order online. If online ordering isn’t your style, you can download the order form below, and email, fax or mail it to us.

Download Order Form

 

I’d like to…request a credit line

If you’re a state government agency or municipality:
State government agencies and municipalities may purchase on open account, pending application.

Download State & Municipal Application Form

If you are NOT a state government agency or municipality:
If you are not a federal or state government agency or municipality, you may apply for open account status by completing a Credit Application form.

Download Credit Application Form

 

I’d like to…order medication

Before your agency can order prescription medications from Emergency Medical Products, we must have a completed License Authorization Form (LAF) on file. Learn more.

Download License Authorization Form (LAF)

 

I’d like to…sign up for electronic invoices

Save the trees, and receive your invoices via email!

Download Electronic Invoice Request Form

 

Contact Customer Service if you need additional assistance.