Events Ireland: Quote Request

Quotation Request Form

Please complete this form with as much detail as possible to receive a no-obligation quote. We're delighted to be considered for your event's medical cover needs.

Thank you for choosing Codeblue! Should you have any queries before receiving your quote, feel free to reach out to us at events@codeblue.ie or contact Aaron Cullen (Operations Manager) directly by phone or whatsapp on 0830943404.
Have we provided medical cover for your organisation before?

YesNo
Name*

First NameLast Name
Email*
example@example.com

Organisation / Company Details
Company / Organisation Name*
Organisation Type*

Company (Limited Company, including Private and Public Limited Companies)Sole TraderPartnershipCharity / Non-Profit OrganisationClub / Society / AssociationTrustIndividual (Person acting in a personal capacity, not as a sole trader)
Company Registration Number (CRN)*
PPSN*
Tax Reference Number*
Registered Charity Number (RCN)*
Billing Address*

Address Line 1

Address Line 2

CityState / Province

EircodeCountry
Contact Person Details
Contact Name*

First NameLast Name
Contact Phone Number*

Area CodePhone Number
Contact E-mail*
example@example.com
Would you like to add another contact person who will also receive the quotation by email?*

YesNo
Contact #2 Name*

First NameLast Name
Contact #2 E-mail*
example@example.com
Would you like to add a separate finance contact to receive invoices?*

YesNo
Invoice E-mail*
example@example.com
Event Name & Location
Event Name*
Event Description*
Event Address*

Address Line 1

Address Line 2

CityState / Province

EircodeCountry
Event Location Directions / Location Notes (optional)
Medical Cover Details
Do you know the exact times for the medical cover?*

Yes, I know the start and end times.No, I currently only know the total hours needed.
Medical Cover Start Date & Time*

DayMonthYear
Date
Hour MinutesAM/PM Option
Medical Cover End Date & Time*

DayMonthYear
Date
Hour MinutesAM/PM Option
Medical Cover Date*

DayMonthYear
Date
How many hours of medical cover are required?*
Would you like to add another dates for the same event?*

YesNo
Date #2: Medical Cover Start Date & Time*

DayMonthYear
Date
Hour MinutesAM/PM Option
Date #2: Medical Cover End Date & Time*

DayMonthYear
Date
Hour MinutesAM/PM Option
Date #2: Medical Cover Date*

DayMonthYear
Date
Date #2: How many hours of medical cover are required?*
Date #3: Medical Cover Start Date & Time

DayMonthYear
Date
Hour MinutesAM/PM Option
Date #3: Medical Cover End Date & Time

DayMonthYear
Date
Hour MinutesAM/PM Option
Date #3: Medical Cover Date

DayMonthYear
Date
Date #3: How many hours of medical cover are required?
Date #4: Medical Cover Start Date & Time

DayMonthYear
Date
Hour MinutesAM/PM Option
Date #4: Medical Cover End Date & Time

DayMonthYear
Date
Hour MinutesAM/PM Option
Date #4: Medical Cover Date

DayMonthYear
Date
Date #4: How many hours of medical cover are required?
Date #5: Medical Cover Start Date & Time

DayMonthYear
Date
Hour MinutesAM/PM Option
Date #5: Medical Cover End Date & Time

DayMonthYear
Date
Hour MinutesAM/PM Option
Date #5: Medical Cover Date

DayMonthYear
Date
Date #5: How many hours of medical cover are required?
Specific Activities Taking Place*
Event Website
Expected Number of People Involved (Please include participants, spectators or any other staff/volunteers on site)*

Under 100 People100 - 500 People500 -1000 People1000+ People
How will they be accommodated (Select all that apply)*

SeatingStandingMixed of seating and standingOther
Demographic - Who is the event aimed at (Select all that apply)*

General Public (One Day)Pre Booked/Invited (Ticketed) Guests OnlyMainly Children (Under 18's)Mainly Young AdultsMainly Middle Ages PersonsMainly Older PersonsFamily GroupsGroups, But Not FamiliesOther
Are there other organisation's involved in the provision of Medical Services to this event?*
Event Details
Who do our team report to on the day (Point of contact)*

First NameLast Name
Point of contact phone number*

Area CodePhone Number
Is there a facility available for treating casualties in private?*

YesNo
Is there access to tap drinking water?*

YesNo
Is there free parking available onsite for our team?*

YesNo
Please detail the medical resources you feel are required for your event*
e.g. Number of Ambulances, First Aid Points, Response Vehicles, Paramedics, Technicians, First Aiders etc.. and estimate how many. (Details of what your last Medical Team supplied would be a good starting point).
Please detail any further supporting information*
This might include previous injury/incident data, details of any additional resources that could be made available to our team etc.
Upload any supporting documentation

Cancelof
Discount Eligibility

At Codeblue, we offer discounted rates to clients who choose us for multiple events. Discounts are based on total invoicing and volume of work.
Do you require medical cover for multiple events throughout the year?*

Yes, I have regular/ongoing requirements.Yes, I have multiple events per year.No, this is a one-off request.
Approximately how much do you typically spend on medical cover per year across all providers?*

Under €10,000€10,000 - €25,000€25,000 - €75,000Over €75,000
Would you like a discounted quote based on your total annual medical cover spend and, if satisfied, commit to using Codeblue for all cover within that value?*

Yes – I want a discounted quote and will use Codeblue for all medical cover within this value if satisfied with the quote.No – I prefer a standard quote with no discount.
Terms & Agreement
By submitting this form, I request a quotation for Codeblue’s services. I understand that completing this form does not confirm a booking.

I acknowledge that full terms and conditions will be provided with the quotation. I agree to provide all relevant documentation, including risk assessments, site plans, and emergency escalation plans, as required.
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