2828b 2026

See details

4.8 out of 5

101 votes

The document is a personnel roster for Emergency Medical Services (EMS) agencies in New York State, detailing the listing of certified first responders and emergency medical technicians, including their names, dates of birth, ID numbers, certification levels, and expiration dates.

Here's how it works

01. Edit your doh ems online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send dhs 2828a via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out 2828b with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the 2828b in the editor.
Begin by entering your Agency Name and Agency Code at the top of the form. This information is crucial for identifying your organization.
Fill in the Date Submitted to keep track of when the roster was completed. Ensure this date is accurate for record-keeping purposes.
In the personnel section, list all personnel alphabetically by Last Name, followed by First Name. This helps maintain an organized roster.
For each individual, provide their Date of Birth in mm/dd/yy format, along with their ID Number and expiration date for Certified First Responders and Emergency Medical Technicians.
Check any additional certifications such as CPR, AED/PAD, or First-Aid as applicable to each personnel member.

Start using our platform today to easily complete your 2828b form online for free!

See more 2828b versions

We've got more versions of the 2828b form. Select the right 2828b version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2007	4.8 Satisfied (101 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How can I sign my 2828b online?

Sign in to your DocHub account and import your 2828b to our editor using one of its upload options - from your device, cloud storage, protected URL, or your DocHub folders if you have already processed your document before. Open our editor, click the Sign button in the top toolbar, and choose your signing method. You can upload an image of your handwritten signature, draw it, enter your name, or utilize a QR code instead.

Can I edit 2828b on my phone?

As a comprehensive document editing service, DocHub is accessible on mobile devices. Open DocHub in your choice of mobile internet browser and use our intelligent mobile-friendly toolset to complete your 2828b.