CASUALTY REPORT FORM

Contact SDG ACS Staff on this forms use.


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  CASUALTY REPORT FORM
San Diego County ARES - ACS

                              Form Info

Select     Incident-Event Location    

 Report Time    Date    Verified By        
Tracking #      Destination
Extent of Injury      Describe      

Ambulance  

Additional Comments on this Casualty if Any

Tracking #      Destination
Extent of Injury      Describe   

Ambulance   

Additional Comments on this Casualty if Any
Tracking #     Destination
Extent of Injury      Describe  
Ambulance    
Additional Comments on this Casualty if Any


   Senders comments if any

  
                                                 Vers 13,4