Member Representative Designation Update Request SCAA Member Designated Representative(s) Update NotificationMember Company InformationMember Company– Select –All Town AmbulanceAmbulife AmbulanceAmbuServe AmbulanceAmerican Medical ResponseAmerican Professional AmbulanceAmwest AmbulanceAntelope AmbulanceCAL-MED AmbulanceEmergency AmbulanceFalck Mobile Health CorpFirstmed AmbulanceFirst Rescue AmbulanceGuardian Ambulance ServiceHeart AmbulanceLiberty Ambulance ServiceLifeline AmbulanceMcCormick Ambulance ServiceMedic-1 AmbulanceMedReach Ambulance ServiceMedtransPremier AmbulancePRN AmbulanceRoyalty AmbulanceSymbiosis AmbulanceVital Care AmbulanceZoom AmbulanceDigitechEmergency Vehicle Group, Inc.EMS|MCFerno-Washington, Inc.Leader IndustriesRedSky Emergency VehiclesStryker MedicalMembership Type Ambulance Service Provider Commercial MemberMember Company Designated Representative(s)Primary RepresentativeLACAA Primary Representative NameLACAA Primary Representative TitleLACAA Primary Representative EmailLACAA Primary Representative Phone No.LACAA Primary Representative Phone Type Mobile (Preferred) LandlineAlternate No. 1 RepresentativeLACAA Alternate 1 Representative NameLACAA Alternate 1 Representative TitleLACAA Alternate 1 Representative EmailLACAA Alternate ! Representative Phone No.LACAA Alternate 1 Representative Phone Type Mobile (Preferred) LandlineAlternate No. 2 RepresentativeLACAA Alternate 2 Representative NameLACAA Alternate 2 Representative TitleLACAA Alternate 2 Representative EmailLACAA Alternate 2 Representative Phone No.LACAA Alternate 2 Representative Phone Type Mobile (Preferred) LandlineSubmitter InformationSubmitter’s First NameSubmitter’s Last NameSubmitter’s TitleSubmitter’s EmailSubmitter’s Phone No.Phone Type Mobile (Preferred) LandlineDate Retention and Use ConsentPlease check the Data Retention and Use Consent box below. I consent to have this website store my submitted information, transmit it to designated SCAA members, representatives, or other related parties to permit SCAA to respond to this submission, and to regularly communicate with me or those individuals listed herein, for purposes of conducting the business of SCAA or its affiliated entities.Submit Member Representative Update Request
