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Area Command Incident Tally and Reporting Form|Date:
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Area Command Center Location and Contact Info:|Time:
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Area:City of Orem EOC Location: 56 North State Street, OremBlock Notes/Details/ Resources Needed
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Neighborhood InformationTotal Number Accounted ForTotal Number Unaccounted ForImmediate/Serious Need(s)
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Description (Who, Where, What, How Many, etc.)
(Overview of the Area) Schools, Roads, Infrastructure, etc.
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(Life-threating or major medical injuries/situations, trapped individuals, fires, gas or water lines, hazardous material, etc.
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Contact:
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TotalsTotal Number of Individuals Accounted ForTotal Number of Individuals Unaccounted ForINSTRUCTIONSSheet # of # .
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Complete form and give to City of Orem Emergency Operations CenterAttach other sheets of paper as needed
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00(56 N. State Street, Orem)
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