Hawaii RFA (Request for Assistance)
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Request for Assistance Form Instructions
- Incident name: name of the incident or event (it will be saved for the next time the form is used).
- To: The name/position of the person this form is to be finally delivered by hand.
- From: the originator of the form contents.
- Date: current date.
- Time: current time.
- Priority: select the proper priority of this request.
- Date/Time Needed: the date/time the request should be delivered.
- Point of Contact: name of individual that can answer questions about the request.
- Date/Time Release: the date/time the asset requested can be released.
- POC email: the email address of the point of contact above.
- Ph: phone number of the POC.
- County: the county that the location of the delivery resides.
- Requester's Organization: name of organization sending the request.
- Location Coordinates: the latitude and longitude of the delivery site.
Please use 4 decimal digits right of decimal pt.
- Description: a concise description of what is needed and why.
- Remarks: any additional helpful information that could expedite the request.
- Delivery address: the location to deliver the requested materials.
- Site POC: the name of contact at the delivery location.
- Site Ph: the phone number of the site POC.
- Delivery instructions: any additional info to aid delivery, such as gate code or additional contacts.
- Approved by, position / title: required name and position of the approving personnel.
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This Report is an
Exercise Message
REAL EVENT
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1.
Incident Name:
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2.
To (Name/Position):
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3.
From (Name/Position): |
4.
Date: |
5.
Time: |
6. Priority:
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7. Date/Time
Needed: |
8. Point
of Contact: |
9. Date/Time
Release: |
10. POC
email: |
11. Ph:
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12. County:
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13.
Requester's Org: |
14. Location Coordinates: LAT
LON
LAT/LON default to the center of the grid
square listed in Express Settings
IF a GPS is not available, LAT/LON must be entered manually
Without
properly formatted GPS coordinates this form cannot be mapped in
Winlink Express
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15. Description
/ Task:
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16.
Remarks:
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17.
Delivery addr:
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18. Site POC: |
19. Site 24hr Ph: |
20.
Delivery Instructions: |
21.
Approved by:
Position
/ Title:
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Ver 1.2
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