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CERT Los Angeles

Forms

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These are the forms in the new CERT manuals. They are to be used by the Los Angeles CERT program.

Not from Los Angeles??



All Forms Bundle All-Forms.pdf Todas-las-Formas.pdf
Assignment Status Form
Track personnel on an assignment.
Assignment-Status.pdf Estado-de-la-Asignación.pdf
Damage Assessment Form
Summary of all hazards in area.
Damage-Assessment.pdf Determinación-de-Daños.pdf
Equipment Resources Form
Keep track of equipment.
Equipment-Resources.pdf Recursos-en-Equipo.pdf
Incident Briefing Form
Sketch a map of the incident area with any hazards.
Summarize the actions of your teams.
Incident-Briefing.pdf Reporte-de-Incidente.pdf
Message Form
Use for all communications.
(assignment completed, additional resources needed, unable to complete, special information/status update)
Message.pdf Forma-del-Mensaje.pdf
Personnel Resources Form
Staging: Have people sign in and list their skills.
Personnel-Resources.pdf Recursos-en-Personal.pdf
Post-Incident Status Form
Record incident assignments from Damage Assessments.
Post-Incident-Status.pdf Estado-del-Incidente.pdf
Victim Treatment Area Form
Document each person brought to the treatment area.
Victim-Treatment-Area.pdf Registro-del-Área-de-Tratamiento-de-Víctimas.pdf
Documentation Exercise Bundle
Practice scenario with filled-out forms.
Documentation-Exercise.pdf
 
ICS 202
Incident Objectives
ICS-202.pdf  
ICS 205
Incident Radio Communications Plan
ICS-205.pdf  
ICS 213
General Message
Use for all communications.
(assignment completed, additional resources needed, unable to complete, special information/status update)
ICS-213.pdf  
ICS 214
Unit log
ICS-214.pdf
ICS-214.doc
 
 
Volunteer Enrollment Form
This is a form required citywide for all volunteers. It is required for many of our events. It is not an enrollment form for CERT. If you do not have a form on file, print it, fill it out and fax it to 818-804-5302.
Volunteer-Enrollment-Form.pdf
 
CERT Make-up Class Form
If you miss a class, you can go to any other location to make it up. Fill out the Operational Area Make-up Class Form, have the make-up class instructor sign it, and return the completed form to your original training agency.
Operational-Area-Make-up-Class-Form.pdf
 

These forms are Adobe Acrobat PDF files.  To read and print PDF files, you need the Adobe Acrobat reader, which is available free from Adobe.


Not from Los Angeles?? Download the forms here! (With no logos)

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