SETRAC EMTF Contact List
Please submit your preferred contact information into this form so it can be added to the EMTF contact list. This list will remain in an internal database and not be published.
Please forward this form to any potential participant of the Emergency Medical Task Force of Region Six so they too may be included in information exchange. Thank you.

Mark Sastre
SETRAC EMTF Coordinator

First Name *
Your answer
Last Name *
Your answer
Agency *
Your answer
Email (Primary) *
Your answer
Email (Secondary)
Your answer
Work Phone *
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Mobile Phone
Your answer
Additional Phone Number (if applicable)
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Regional Advisory Council (RAC) region: *
Disciplines: (Select all that apply) *
Please select your area of expertise; your desired role in EMTF events
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