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18-19 OCS Emergency Lock Down Information
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* Indicates required question
What is your name?
*
Your answer
What is your room number?
*
Your answer
How many people including yourself are in the room?
*
Your answer
List the names of the people who are with you that are not normally with you.
Alphabetization by last name helps, but is not required
Your answer
List the names of people who would normally be with you but are missing.
Alphabetization by last name helps, but not required
Your answer
Is anyone injured?
*
No
Yes
Are injuries life threatening?
Yes
No
Unsure
Clear selection
List types of injuries
Your answer
Is there any other information you feel officials should know?
Your answer
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