Administrative Fee Schedule


Due to the number of administrative requests for copies of incident reports and the time associated with fulfilling each request, The Nottoway County Emergency Squad, Inc. has implemented the following fee schedule effective January 1, 2004.

Incident Report Retrieval    $35.00 Each
Copies $10.00 per report

Please mail all requests for copies of incident reports to:

NCES
c/o Harold Bloss
PO Box 453
Crewe, VA 23930

For all requests, please be sure to include the following:

Full Name of Patient
Social Security Number of Patient
Date of Incident
Approximate time of Incident
Signature of Patient (Or Guardian)
With statement of release
Check or Money order made
Payable to "NCES"