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 *
Agency/Department/Office *
Email Address *
Phone Number *
I have been in communication with my assigned Liaison Officer about this request. *
Exercise Date *
MM
/
DD
/
YYYY
Type of Exercise *
Brief Description of the Exercise (including core capabilities) *
Exercise Location *
This location been reserved and confirmed. *
I am requesting the following support from MEMA for this exercise: *
Required
Submit
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