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Sample Policy Format

Preface Process for Revision/Updates Sample Policy Release Notes Policy Section 1 Policy Section 2 Policy Section 3 Policy Section 4 Policy Section 5 Policy Section 6 Policy Section 7 Policy Section 8 Policy Section 9 Appendix A Appendix B Full TPAM Manual (PDF) OEMS Home

Policy Number: T- XXX Unique policy number	Page: 1	of: 1 1 of 2, 1 of 3, etc.
Title: Policy Title Title of this policy usually self-explanatory
Regulatory Authority: 12 VAC 5-31-XXXX Applicable Regulation authorizing this policy
Date of Issue: December 1, 2002	Effective Date: January 01, 2005

¹ Date this policy was created by the Office of EMS.
² Date this policy will become effective and supersede a previous policy of the same number (if any). Usually only applies to training programs which START after this date unless specified otherwise when distributed.

POLICY TEXT: Text of this policy which explains the process and procedures followed by the Office of Emergency Medical Services to administer and enforce the referenced state regulation. May be a listing of training programs, courses or other items which are recognized by the Office of Emergency Medical Services to fulfill a referenced regulation.

Note: Policy numbers (T – XXX) are generally numbers by fives to allow for insertion of additional policies between existing pages if necessary to keep similar polices grouped together. Policy numbers are grouped within each section of the manual with unused numbers left available for additional without the need to renumber other sections.