EmailMeForm
Incident Situation Report
Local Emergency Managers and First Responders Report to the County EOC of What is Happening at an Incident Scene
Town:
Email Address
Date and Time of Report
MM
/
DD
/
YYYY
HH
:
MM
AM
PM
AM/PM
Name of Person Submitting Report
Callback Phone #
###
-
###
-
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Location of Incident or Impacted Area
Street Address, Map Coordinates or General Description of Area
Type of Incident or Hazard
HazMat Spill, Flooding, Vehicle Crash, Wildfire, etc.
Location of Command Post
Local EOC Activated?
Yes
No
Description of what happened or is happening
Units and Resources on Scene
DIMES Report
Dead
Injured
Missing
Evacuated
Sheltered
Attach Photo
Add File
