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Employee Portal

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  1. Company Nurse

    1. Frequently Asked Questions (PDF)
    2. Injury Hotline (PDF)
    3. Injury Reporting Guide (PDF)
    4. Temporary Prescription Card (PDF)

  2. Forms for Download

    1. Ambulance Exchange Form (PDF)
    2. Emergency Medical Services Exposure Form (DOCX)
    3. Instructor Compensation Form (DOC)
    4. Pre-Planning Data Sheet (PDF)
    5. Special Event Allocation Form (PDF)
    6. Travel & Expense Form (XLS)
    7. Vehicle Accident Report (PDF)

  1. Forms for Online Submittal

    1. Change of Certification
    2. Training Equipment Request

Employee Only Links

Employee E-Mail Login
ESS Portal

  1. Company Nurse
    1. Frequently Asked Questions (PDF)
    2. Injury Hotline (PDF)
    3. Injury Reporting Guide (PDF)
    4. Temporary Prescription Card (PDF)
  2. Forms for Download
    1. Ambulance Exchange Form (PDF)
    2. Emergency Medical Services Exposure Form (DOCX)
    3. Instructor Compensation Form (DOC)
    4. Pre-Planning Data Sheet (PDF)
    5. Special Event Allocation Form (PDF)
    6. Travel & Expense Form (XLS)
    7. Vehicle Accident Report (PDF)
  3. Forms for Online Submittal
    1. Change of Certification
    2. Training Equipment Request

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  1. Contact Us  Contact Us

  1. County of Franklin

    1255 Franklin Street

    Rocky Mount, VA 24151

    Phone: 540-483-3030

    Email Us

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