These are the forms in the CERT manuals.

New Forms - 2011

All Forms Bundle

All-Forms-2011.pdf

1. Damage Assessment

Completed by CERT members as they travel through the area to the CERT staging location, then given to the CERT IC/TL; provides a summary of overall hazards in selected areas, including:

· Fires

· Utility hazards

· Structural damage

· Injuries and casualties

· Available access

Essential for prioritizing and formulating action plans.

Damage-Assessment-2011.pdf

2. Personnel Resources

Used to sign in CERT members as they arrive at the staging location; provides information about:

· Who is on site

· When they arrived

· When they were assigned

· Their special skills

Used by staging personnel to track personnel availability

Personnel-Resources-2011.pdf

3. Incident/Assignment Tracking Log

Used by the Command Post for keeping abreast of situation status; contains essential information for tracking the overall situation

Assignment-Tracking-Log-2011.pdf

4. Briefing Assignment

Used by the Command Post to provide instructions to functional teams; used by teams to log their actions and report new damage assessment information

Briefing-Assignment-2011.pdf

5. Victim Treatment Area Record

Completed by medical treatment area personnel to record victims entering the treatment area, their condition, and their status

Victim-Treatment-Area-Record-2011.pdf

6. Communications Log

Completed by the radio operator; used to log incoming and outgoing transmissions

Communications-Log-2011.pdf

7. Equipment Inventory

Used to check out and check in CERT-managed equipment

Equipment-Inventory-2011.pdf

8. General Message

Used for sending messages between command levels and groups; messages should be clear and concise and should focus on such key issues as:

· Assignment completion

· Additional resources required

· Special information

· Status update

General-Message-2011.pdf

Volunteer Enrollment Form
This is a form required citywide for all volunteers. It is required for many of our events. It is not an enrollment form for CERT. If you do not have a form on file, print it, fill it out and fax it to

CERT Make-up Class Form
If you miss a class, you can go to any other location to make it up. Fill out the Operational Area Make-up Class Form, have the make-up class instructor sign it, and return the completed form to your original training agency.