Request Us

RIT Ambulance provides a stand-by service for events by request. All stand-bys will be staffed by an EMT fully equipped with emergency equipment. The stand-by may also include an ambulance depending on the staffing needs of the event. Please fill out the form below so that we can better assist you.

Contact Information

Organizer's Name

*

Organizer's Email Address

*

Organizer's Phone Number

*

Contact Person at Event
(If different from Organizer)

Contact Person Email Address

Contact Person Phone Number

Event Information

Event Name

*

Department or Organization

*

Date of Event

*

Event Start Time

*

Event End Time

*

Event Location

*

Event Description

*

Expected Attendance

*

Standby Information

Please indicate when you would like our staff on location. Be sure to include at least half an hour before and after the event.

Standby Start Time

*

Standby End Time

*

Please include any special circumstances we should be made aware of, if any.

Special Circumstances

Please tell us if there's anything else you think we should know. Please let us know if you have any questions about the stand by or staffing.

Additional Information

Quick Information

Emergency: 911 or (585) 475-3333
Phone: (585) 475-2605
Fax: (585) 475-7788
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If you are interested in joining RIT Ambulance, you can fill out an online application or visit our base located in Building 23A, the Student Health Center, on the bottom floor.

If you are looking to request RIT Ambulance to stand by at an event please fill out our Request Form.

RIT Ambulance
117 Lomb Memorial Drive
Rochester, NY 14623-5608