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[]
[null,"UTAH COUNTY AMBULANCE  BILLING FORM"]
[null,"Billing Agency Name",null,null,null,null,null,"FDID#"]
[null,"Incident Location:",null,null,null,null,null,"UFIRS INC#"]
[null,"City Incident #",null,null,null,null,"Incident Date:"]
[null,"County Incident #",null,null,null,null,"Prepared by:                                "]
[" EQUIPMENT TIME LOG                            UC Contract #:"]
["Apparatus Radio Call # and Class #","Alarm","Enroute","Arrived","Completed","Available","TOTAL TIME\nNearest Hr.1/10hr","X $Rate"," Total cost"]
[null,null,null,null,null,null,{"$f":"ROUND((F9-B9)*24/0.1,0)*0.1","v":0},null,{"$f":"(G9*H9)","v":0}]
[null,null,null,null,null,null,{"$f":"ROUND((F10-B10)*24/0.1,0)*0.1","v":0},null,0]
[null,null,null,null,null,null,{"$f":"ROUND((F11-B11)*24/0.1,0)*0.1","v":0},null,0]
[null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,0,null,0]
["Mileage*","Miles To",null,null,null,"From","Total Miles"]
[null,null,null,null,null,null,{"$f":"SUM(F17+B17)","v":0},null,0]
[null,null,null,null,null,null,{"$f":"SUM(F18+B18)","v":0},null,0]
[null,null,null,null,null,null,{"$f":"SUM(F19+B19)","v":0},null,{"$f":"(G19*H19)","v":0}]
["When a call goes past midnight, override the auto calculations. "]
["Ambulance","MINIMUM AND HOURLY RATE",null,null,null,null,null,160,0]
["PLEASE MARK ALL THAT APPLY:",null,null,null,null,null,"Total Equipment Cost:",null,{"$f":"SUM(I9:I21)","v":0}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["* T5 & T6 Aparatus $1.03 per mile"]
["All Other Aparatus  $1.49 per mile",null,null,null,null,"CHARGES REVIEWED PRIOR TO PAYMENT                         EMAIL TO: UCFM@utahcounty.gov "]
[]
[]
["REVIEWED / PAYMENT APPROVAL",null,null,null,null,"Click Here for Auto Submit Instructions"]
[]
[]
[null,"UC Fire Marshal",null,null,null,"             "]

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[null,"Quick submit feature available by filling out form, then clicking \"Click Here to Submit Form\", \nthis creates an email with prefilled subject and email text from the document and sends it to the correct department."]
[null,"Due to increased Microsoft security policies, to use this feature you have to \"Unblock\" the macro feature on the document to allow the auto submission."]
[]
[null,"After opening the file: click the \"Enable Editing\" banner button"]
[]
[null,"Open the location of the downloaded file"]
[null,null,"Click File ( in Header Menu )> Info ( Along left menu ) > Open File Location ( Right-most button underneath headers )"]
[null,"Open the Properties menu for the downloaded file"]
[null,null,"Right-click the downloaded file > Click \"Properties\" at bottom of list"]
[null,"Check the \"Unblock\" box property to allow Macros for just this file."]
[]
[null,"Close and reopen the file"]
[]
[null,"Click \"Enable Content\" Banner button"]
[]
[null,"Fill out form, and click \"Click Here to Submit Form\""]
[]
[]
[null,null,null,null,null,null,null,null,null,"Click to Go Back to Form"]