Standardized Emergency Management System
                Auxiliary Communications Service Status Report

From City:

Operational Area:     

Region:                       

Law Mutual Aid Region:                 Fire Mutual Aid Region:

1. Event Name:                         2. Event Date:

3. Overall Status:                     4. As Of: (date/time)

5. Areas Affected:

6. Situation: 

SUBJECT                    |ACTIVITIES (a)  |          REMARKS (b)
------------------------------------------------------------------------------
MUTUAL AID                 |YES/NO| TO/FROM |
                           |      |         |  
7 Recieved last 24 hours   |      |         |
                           |      |         |
8 Needed next 24 hours     |      |         |  
                           |      |         |
9 Supplied last 24 hours   |      |         |
                           |      |         |
10 Commited next 24 hours  |      |         |
                           |      |         |
   
OPERATIONS	    |NUMBER OF |NUMBER OF |REMARKS
                    |LOCATIONS |PERSSONNEL|
------------------------------------------------------------------------------
11 RIMS             |          |          | 
                    |          |          |
12 OASIS            |          |          | 
                    |          |          |
13 EOC/DOC          |          |          |
                    |          |          |
14 Field            |          |          |
                    |          |          |
15 Estimate Duration|          |          |
   of Operation     |          |          |
                    |          |          | 

Net Levels Supported   |State Levels         |Operational Area Levels  
                       |(select - A,B,C or D)|(select 1, 2, 3 or 4) 
------------------------------------------------------------------------------
16  Levels Supported   |                     | 
                       |                     | 

Nets	            |Type (Amateur/MARS | Frequencies and Modes (FM/Packet/
                    |CAP/REACT)         |                       Amtor/etc.)
------------------------------------------------------------------------------
17 Net:             |                   |        
                    |                   | 
18 Net:             |                   |
                    |                   |
19 Net:             |                   |
                    |                   |
20 Net:             |                   |
                    |                   |
21 Net:             |                   |
                    |                   |
22 Net:             |                   |
                    |                   | 

23 PROGNOSIS:  (No Change/Worsening/Improving)    

24 POINT OF CONTACT        

a. Name:                    b. Phone:                c. Fax:

d. Alt Phone:               e. Radio contact:        f. E-Mail Addr:

Created by:                        on: date/time

Last Modified by:                  on: date/time