Healthcare Resource Assessment: Coroners (Responses)
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TimestampEmail Address1. Agency Name:
2. Jurisdiction(s) covered - select all that apply
3. 24/7 primary agency contact - Name:
4. 24/7 primary agency contact - Phone:
5. 24/7 primary agency contact - E-mail:
6. 24/7 alternate agency contact - Name:
7. 24/7 alternate agency contact - Phone:
8. 24/7 alternate agency contact - E-mail:
9. How many staff are employed at your agency, including volunteers - please do not include admin./support positions:
10. Please identify which communication modalities your facility currently supports (select all that apply):
11. Please select all radio capabilities currently available within your facility:
12. Number of portable or mobile radios programmed to be interoperable within the Southwest region:
13. How many body bags does your agency typically have available?
14. Does your agency have access to a mobile morgue?
15. Does your agency have a morgue?
16. What is the capacity of your agency's morgue, if applicable?
17. Please briefly describe your agency's body transportation capabilities (e.g., do you have a dedicated vehicle(s), capacity, etc.)?
18. Please select which generator capabilities your facility currently supports (select all that apply):
19. Please list any other equipment/supplies that could be utilized during a disaster/large scale event:
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