Common Contracts
1 similar Information Request contracts
INFORMATION REQUESTInformation Request • May 18th, 2021
REQUESTER INFORMATION REQUESTER FULL NAME (last, first, mi, suffix)VIRGINIA BEACH EMERGENCY MEDICAL SERVICES FEDERAL TAX ID OR SOCIAL SECURITY NUMBER*54-0722061098 EMAIL ADDRESS ORGANIZATIONAL AFFILIATION (if any) TELEPHONE NUMBER(757) 385-1999 USE AGREEMENT NUMBER (if applicable) STREET ADDRESS4160 VIRGINIA BEACH BLVD CITYVIRGINIA BEACH STATEVA ZIP CODE23452 ACCESS CODE (if applicable) TNC CERTIFICATE NUMBER (if applicable) REASON FOR REQUEST (be specific) (attach additional sheets if necessary)VOLUNTEER EMPLOYMEE WITH THE CITY OF VIRGINIA BEACH
