Brief description of event:______________________________________

___________________________________________________________

Type of ham support provided:__________________________________

___________________________________________________________

There are _______ hams involved at ____ sites.

Resources needed:__________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

Contact to offer resources or receive an assignment.

Name______________ Call___________ Phone number______________

Or contact on _______________ frequency/repeater.

Resource management and information net will be at:

time:___________ frequency:____________.

Operational net frequency(s) ________________________________.

Personal equipment and supplies that hams should bring:

______________________________________________________

Radio equipment that hams should bring:

______________________________________________________

Status as of Date:____________ at (local time): ___________.

Signed: _____________________________ Call: ___________