Request for MEMA Exercise Support
Please use this form to request exercise development, design, and conduct assistance. All submissions are considered requests and not confirmed until you receive a confirmation back from the MEMA State Exercise Officer.
Name *
Your answer
Agency/Department/Office *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
I have been in communication with my assigned Liaison Officer about this request. *
Exercise Date *
Type of Exercise *
Brief Description of the Exercise (including core capabilities) *
Your answer
Exercise Location *
Your answer
This location been reserved and confirmed. *
I am requesting the following support from MEMA for this exercise: *
Never submit passwords through Google Forms.
This form was created inside of Report Abuse