|
| Winlink Status -
|
| Title – Request for State Resources |
| 4. OERS Incident Number-
(4 digit year - 4 digit number) |
| 5. Request Date -
(auto-generated but editable, format MMDDYY) |
| 6. Request Time
(auto-generated, editable, Military 4 digit no delimiters , ie. 1345 |
| 7. Verbal Request-
|
| 8. Requesting Name -
Person entering the request should be the EM or delegated by the EM. |
| 9. Winlink Call Sign-
(Call Sign of originating station) |
| 10. Requestors Title -
(Title or Position of Requestor) |
| 11. Jurisdiction-
|
12. Requesting Organization Contact Information-
Contact information in the organization that needs the resource (this is not necessarily the tribe/county sending the request).
|
13. Requesting Priority-
|
| 14. Request Status-
|
15. Requesting Organization-
Name of Organization requesting the resource (this is not necessarily the tribe/county sending the request). |
| Resource Request (Use one request per resource type) |
| 16. Size-
Unit of issue |
| 17. Amount/Quantity-
|
18. Report to: Location-
An address where the resource is to be delivered. |
| 19. Report to: Point of Contact-
Name of contact at the Report to: location. |
20. Type of Resources -
|
21. Request Summary-
|
| 22. Date Required at Site-
editable MMDDYY |
| 23. Time Required at Site-
(4-digit Military time, no delimiter, ie. 1455) |
| 24. Duration of Assignment -
|
25. Other Mission Critical Information -
|
26. Operating Environment/Conditions -
This will tell responding personnel what will be required during the response |
27. Required Licenses, Credentials, etc.-
For example is an electrician’s license required for the installation? |
Related Tracking Information
|
| 28. Tracking Information-
|
| 29. Organization -
|
| 30. Remarks -
|
31. List of attached files-
(Name & Attachment Description)
Commonly used only for medical supply lists. Text Field
|