STATE OF TEXAS ASSISTANCE REQUEST (STAR)       Vers 9   

  

   Incident Name              Initial Request Date/Time 

  Requesting County       Request # 

Is this RR Tied to Another Request?  
    Other Tracking Numbers      

Requested Item Description
Qty Unit Item Name Item Description Cost Demob?
  Justification -  Purpose for Request? 
 
  When is this Resource Needed?     Estimated Needed Time Frame of Item? 

Delivery Information - Way Point Information

Point of Contact Name Phone # (s) Facility Name Zip
  Facility Address      City     State  
  Additional Instructions
  

Final Destination

Point of Contact Name Phone # (s) Facility Name Zip
     
  Facility Address    City      State 
  Additional Instructions
  

Requester Information

Requested by Position / Name Email Phone # (s)
        If the person receiving does not have Winlink Express, the info is readable in the message body text.