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Stop the Bleed Training Kit Request Form

This form allows Indiana organizations to request training kits from the Indiana Department of Homeland Security (IDHS) for Stop the Bleed training courses. Training kits will include 20 training tourniquets, wound packing material, and a wound packing trainer. By completing this form, you agree to submit a roster of participants to IDHS Training Staff for recordkeeping and future grant application purposes, along with the remaining training equipment that was borrowed. A roster form template can be downloaded here. To request training kits, please provide details below: