Air Coordination Group - Drone Network Application

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UAS Operators interested in participating in the Air Coordination Group ("ACG") Drone Network must submit this application.

Please choose a category *

Choose "Official Duty" if you will be acting withing the scope of your employment while responding to mission requests. This usually means 'on-the-clock' time, but it is understood that some agencies may have different arrangements.

Law Enforcement - Official Duty

Fire Service - Official Duty

Emergency Management - Official Duty

Corrections - Official Duty

I work in Public Safety, however my response will be unpaid off-duty / volunteer time

Civilian (including former or retired public safety personnel)

Your Name *

Each flight team member must submit a separate form.

Agency Name *

Home Base *

Even if you cover statewide, please list the location you work out of.

Email address *

Please list an email address where you'd like to receive notifications.

Your Primary Cell Phone # *

This should be your primary cell phone.

Secondary Phone #

This may be a desk, work, or home phone.

Supervisor Name

Supervisor Phone #

What will be your primary flight team role? *

Please select your highest level of training capability. I.e. if you are a certificated PIC please select that, even if you're also available to fill other roles.

Pilot-in-Command - PIC (Certified)

Remote Pilot - RP

Visual Observer - VO

Safety Officer

Maintenance Tech

Supervisor

Other:

Dispatches are currently being sent by WEM regions. Please select which regions you would like to receive notification for.

You can view a region map here: https://dma.wi.gov/DMA/wem/response/regional-offices

Southwest

Southeast

East Central

Northeast

West Central

Northwest

Type of UAS airframe you operate, if applicable

E.g. Inspire 1, Phantom 4

Types of sensors / options you have

E.g. Daylight camera, FLIR, zoom, payload drop system, etc.

Types of back-end data processing you have available

E.g. Pix4D, Drone Mapper, rapid mosaic imaging, etc.

If you are a certified PIC, please select your credential *

Certificated Part 107 Remote Pilot

Certified through agency COA

Both

None

Required

Please list your Remote Pilot Certificate # if applicable

Please list your agency's COA # if applicable

Do you have liability insurance for your UAS operations?

Yes

Not Applicable

Unsure

Clear selection

Choose the FEMA ICS/NIMS courses you've completed. *

ICS 100, 200, 700, 800 are all FREE and provided online by FEMA. Please visit this link to take the courses or for more information. https://training.fema.gov/nims/

ICS 100

ICS 200

ICS 300

ICS 400

ICS 700

ICS 800

Other:

Required

Please list any waivers or authorizations you've been granted by the FAA.

Will there be a fee for your services for life/safety missions? *

Yes

Describe your level of UAS experience *

Pilots- include any formalized training you've had, groups or associations you're part of, and an estimate of your number of airtime hours broken into daytime operations and nighttime operations. Non-pilots (Safety Officer, VO, Maintenance) -please include any training you've had or an estimate of the number of missions you've participated it.

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