Request edit access
UMBS Evacuation Notification Form
In case of emergency evacuation from campus, please answer the following questions to notify UMBS.
Sign in to Google to save your progress. Learn more
Names of everyone in your group *
Time of departure
Destination
Phone numbers for everyone in your group
Is anyone injured and in need of medical assistance?

If so, call 911 and report your emergency.
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Michigan.

Does this form look suspicious? Report