EMS Confidential Reporting on Peace Officer Undue Influence on Use of Ketamine Pursuant to 18-8-805(2)(a), C.R.S. (I) A peace officer shall not compel, direct, or unduly influence an emergency medical service provider to administer ketamine. (II) An Emergency Medical Service Provider shall confidentially report any violation of this subsection (2)(a) the the P.O.S.T. board created in section 24-31-302 within ten days of the occurrence. At a minimum, the report must include date, time, and place of the occurrence; the identity, if known, and a description of the participants; and a description of the events. Date of Report:(Required) MM slash DD slash YYYY Incident Information:Date of Incident:(Required) MM slash DD slash YYYY Time of Incident:(Required) Hours : Minutes AM PM Address/Location of Incident:(Required) City/Town of Incident: County of Incident:(Required) Description of Patient:(Required)Reporting Party's EMS Organization:(Required) Officer Information:Peace Officer's Agency:(Required) Name of Peace Officer:(Required) Description of Peace Officer:(Required)Witness Information:Witness (1): Witness Affiliation (1): Agency, Bystander, Family Member, etc.Witness (2): Witness Affiliation (2): Agency, Bystander, Family Member, etc.Witness (3): Witness Affiliation (3): Agency, Bystander, Family Member, etc.Event SummaryDescription of Events:(Required)EmailThis field is for validation purposes and should be left unchanged.