OHSEP Resource Request Form for AUXCOM Message Traffic.txt
GOHSEP RESOURCE REQUEST FORM (AUXCOM PLAIN TEXT FORMAT)

SENDER NAME/CALL SIGN:
DATE/TIME:

1. Incident #:
2. Requester Name:
3. Parish:
4. Date/Time Needed:
5. Duration Needed:
6. Tracking  # (DTG/Parish):
7. Resource Type:
8. Resource Description & Delivery Instructions:
9. Priority (Hours) :
10. Is Delivery Required:
11. Requester POC First Name:
12. Last Name:
13. Agency:
14. Phone:
15. Alt. Phone:
16. E-Mail:
17. Delivery POC Name:
18. E-Mail:
19. Phone:
20. Alt. Phone:
21. Name of Site:
22. Address:
(Below Filled Out and Returned by GOHSEP ASAP)
23. Date Logged:
24. Time Logged:
25. GOHSEP Mission #:
26. Logger Name: