Form: Incident_Status_Initial.html,Incident_Status_Viewer.html To: Subject: INCIDENT STATUS - , Msg: INCIDENT STATUS REPORT INFORMATION: 1. Incident Name: 2. WebEOC Incident (as applicable): 3. Incident Date/Time: 4. Report Version: 5. Type of Incident (Check all that apply): Severe Storm/Flood Pre-Planned Event HAZMAT Severe Winter Weather Dam/Levee Utility Disruption Public Health Active threats/ Civil Disturbance Fire Aircraft Disaster Earthquake Other (Specify): 6. Situation Summary as of Time of Report: 7. Future Outlook/Goals/Needs/Issues: 8. County Emergency Operations Center (EOC) Status (Check one): 9. Local Disaster Declaration Status 10. Number of Confirmed Incident Injuries: 11. Number of Confirmed Incident Fatalities: 12. Number and Location(s) of Shelters Established: 13. Have Evacuations Been Implemented? 14. Date/Time of Report: 15. Report Submitted By: 16. Contact Info: ------------------------ Express Sending Station: Senders Express Version: Senders Template Version: