Orange County NC Website
I attest that the information provided is accurate and I have the authority to submit this application. <br /> <br />Authorizing Signature: __________________________________________ Date: __________________ <br />FOR OCES USE ONLY <br />Reviewed by: ______________________________________ Date Filed:___________________________ <br />Approved by Orange County EMS Medical Director:_________________________________ <br />DocuSign Envelope ID: 79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD