Bleed Safe Application | Chino Valley Fire

Apply today!

If you feel your business or establishment meets the criteria to receive a donated trauma kit and training, then please complete the application form!

Name *

First

Last

Business or Establishment's Name

Type of Business or Establishment *

Email Address *

Phone Number *

Business or Establishment Address *

Address Line 1

Address Line 2

City

State

Zip Code

*Must be within the Chino Valley (Chino or Chino Hills)

Are you willing to place a wall-mounted trauma kit in an easily visible and accessible area within your business or establishment? *

Are you willing to receive free First Care Provider Training for most or all of your staff? *

Are you willing to complete a free facility/risk assessment form? *

Are you and your staff willing to sign up for the free PulsePoint phone app? *

The pulse point phone app notifies you when a life saving emergency is happening near your, so you can render immediate aid to a victim.

Reason for your business or establishment qualifies to receive a donated trauma kit and training *

Chino Valley Fire District Bleedsafe Community with Patch

A Chino Valley Fire District firefighter looks off in the distance at a scene