Resource Request Questions


Incident Name:

Priority

• When do you need this request fulfilled?
o 0-4 hours
o 4-8 hours
o 8-12 hours
o 12-36 hours
o Longer than 36 hours

Justification
• Does the county or local jurisdiction have the ability to contract for these resources?
o Yes
o No

Have you exhausted all mutual aid options in the surrounding counties?
o Yes
o No

Additional justification for the requested resource(s):
Justification Examples:
Local jurisdiction does not have this resource...
All existing resources have been contracted out...
Surrounding counties are also impacted...
No mutual aid is available...

Requesting Jurisdiction
• Requester Agency:
• Operational Area:

Requested Resources
• Resource Name:
• Quantity Requested (ea):
• Detailed Resource Description: (Vital characteristics, brand, specs, experience, size, etc.)
• Is an operator needed for this resource?

Request Summary (Why is this resource needed and what will it do):

Actions taken on this request so far (what have you done to obtain the resource on your own)?

Requester Information
• Requester First & Last Name:
• Requester Email:
• Requester Phone:
• Requester Title:

Delivery Information
• Recipient First & Last Name:
• Delivery Recipient Email:
• Delivery Recipient Phone:
• Delivery Recipient Title:
• Delivery Recipient Entity Name:
• Delivery Location:
• Delivery Notes:

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COASTAL REGION RESOURCE REQUEST

REQUESTING JURISDICTION INFORMATION
Incident Name: {var Incidentname}   Request Date/Time: {var RDateTime} 
Priority
When do you need this request fulfilled?   {var Priorityval}
Justification
Does the county or local jurisdiction have the ability to contract for these resources?   {var AbilitytoContractval}
Have you exhausted all mutual aid options in the surrounding counties?  {var exhaustedmutualval}
Additional justification for the requested resource(s)
{var Justification}

Requesting Jurisdiction

Requesting Jurisdiction Name: {var ReqJuridiciton} 

Operational Area: {var OPerationalArea}
Requested Resources
 Resource Name  Quantity Requested (ea)  Detailed Resource Description (Vital characteristics, brand, specs, experience, size, etc.)  Is an operator needed ?
{var Resouce1} {var Quanity1} {var detailedDec1} {var OperNeed1val}
{var Resouce2} {var Quanity2} {var detailedDec2} {var OperNeed2val}
{var Resouce3} {var Quanity3} {var detailedDec3} {var OperNeed3val}

Request Summary (Why is this resource needed and what will it do):
{var RequestSummary}

Actions taken on this request so far (whathave you done to obtain the resource on your own)?
{var ActionsTaken}

Requester Information
Requester First & Last Name: {var ReqFirstLastName}                Requester Email: {var ReqFemail}  
Requester Phone: {var ReqPhone}                  Requester Title: {var ReqTitle}
Delivery Information
Recipient First & Last Name:
{var DeliveryName}
Delivery Recipient Email:
{var DeliveryEmail}
Delivery Recipient Phone: {var DEliveryPhone} Delivery Recipient Title: {var DeliveryTitle}  
Delivery Recipient Entity Name: {var DeliveryEntityname}
Delivery Location:
{var DEliveryLocation}
Delivery Notes:
{var DEliveryNOtes}
  Coastal Region Resource Request  v1.0