Form: RR_WebEOC_WA_Initial.html,RR_WebEOC_WA_Viewer.html
To:
Subject: Washington State Resource Request-
Msg:
Request for Assistance or Resources
Date:
Time:
Creator:
Requesting Agency:
County: City/Tribe:
Requestor Tracking #:
State Tracking #:
Priority:
Overal Status:
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Requestor Name: Phone:
FAX: Email:
Resource Requested:
Detailed Description:
Request Specific Resources:
Description/Kind: Size/Type: Quantity:
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Delivery Location Name:
On-Site Point of Contact POC: POC Phone Number:
POC Email:
Required Delivery (Date and Time):
Duration Needed:
Delivery Needed:
Address:
Description using landmark or LAT/LON:
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Have all local resources been exhausted or predicted to be exhausted in the near future?
Has mutial aid been exhausted or predicted to be exhausted in the near future?
Have all commercial resources been exhausted or predicted to be exhausted in the near future?
Is the originating jurisdiction/agency willing to pay for the assistance?
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