Form: Oregon_Declaration_Emergency_Initial.html,Oregon_Declaration_Emergency_Viewer.html
To:
Cc:
Subject: OR Declaration - -
Msg:
Status:
To: Governor, State of Oregon
Through: Director, Office Oregon Emergency Management
From:
1. County:
2. Incident Type:
3. Beginning Date/Time of Incident:
4. Incident is:
IF ENDED, Date/Time:
5. Problem and Type of Assistance Needed:
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6. Initial Assessment of Damage - # of Injuries - # of Deaths:
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7. Actions Pending or Taken by County or Local Governments:
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8. Request Date/Time - Form Filled Out:
9. Name of Authorizing Official (s):
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Express Sending Station:
Senders Express Version:
Senders Template Version: