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EMPG Quarterly Report
This is to be completed by each EMPG funded personnel.
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* Indicates required question
County/Jurisdiction
*
Your answer
Name
*
Your answer
Reporting period
*
Choose
October-December
January-March
April-June
July-September
Year
*
Your answer
Date of current EOP
*
Your answer
Have you submitted the CPG 101 Matrix to ADEM?
*
yes
no
Required
TRAINING
Please keep copies of certificates on file.
Please check the following NIMS courses that you have completed.
*
The requirement is to complete all courses by the end of grant period
IS-100
IS-200
IS-700
IS-800
NONE
Required
Please check the following PDS courses that you have completed.
*
The requirement is to complete all courses by the end of grant period
IS-120
IS-230
IS-235
IS-240
IS-241
IS-242
IS-244
NONE
Required
Exercises
Please list the first 3 exercises that you have participated in during this grant year.
The requirement is to participate in 3 exercises in a grant year.
#1 Exercise Name
Your answer
#2 Exercise Name
Your answer
#3 Exercise Name
Your answer
I understand that credit for exercise participation will be given based on a completed After Action Report (AAR) and a valid sign in sheet.
*
yes
Required
Narrative
Please provide brief notes about your activities this quarter.
*
Your answer
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