2017 Emergency Volunteer Sign In/Out
This form is to be used by Simonton EOC for to sign in and out of a volunteer shift. You are able to either sign in or sign out for a shift. It is important that you report the station you were deployed to, the type of work preformed, and what equipment used during shift. This documentation is extremely important when documenting an event and reporting to FEMA for potential public assistance grant funding.

Make sure you hit submit after you fill in the information.

REMINDER: NEVER SELF-DEPLOY TO AN EMERGENCY STATION LOCATION. VOLUNTEERS MUST MEET AT CITY HALL (EOC BASE) TO RECEIVE INSTRUCTION AND IDENTIFICATION FOR DEPLOYMENT TO A SHIFT. IT IS A LIFE SAFETY CONCERN THAT VOLUNTEERS ARE RECORDED AND TRACKED DURING AN EMERGENCY SITUATION. AFTER A SHIFT IS COMPLETED, VOLUNTEERS ARE INSTRUCTED TO RETURN TO CITY HALL (EOC BASE) TO BE DEBRIEFED.

Full Name
Your answer
Sign In
MM
/
DD
/
YYYY
Time
:
Sign Out
MM
/
DD
/
YYYY
Time
:
Station Location?
What station are you deployed to? (Important for FEMA record reporting)
Required
Type of volunteer work preformed?
This information is needed when coding volunteer hours on the public assistance FEMA form
Required
What Equipment did you use?
If you were using equipment when volunteering check the box. This section is important for Public Assistance Grant Reporting.
If you did not see the equipment in the list, please enter the name here:
Your answer
Emergency Management Supervisor Signature
LEAVE SECTION BLANK - INTERNAL USE
Your answer
Submit
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