California Standardized Emergency Management System
                           Movement Branch Status Report

From County Operational Area:     

Region:                       

Law Mutual Aid Region:  	       Fire Mutual Aid Region:  

1. Event Name:                         2. Event Date: 	

3. Overall Status: (Red/Black/Yellow/  4. As Of: (date/time)
                   Green)

5. Areas Affected: 

6. Situation: 	
                                 |a. Status   |b. Remarks
------------------------------------------------------------------------------
7. Current trafficability in and |            |
   out of affected area:         |            |
   (%e of normal)                |            |
                                 |            |
8. Projected trafficability in   |            |
   and out of affected area:     |            |
   (% of normal)                 |            | 
                                 |            |
9. # of persons evacuated:       |            |
                                 |            |
10. # of traffic control units   |            |
    deployed:                    |            |
                                 |            |
11. Mutual aid received in last  |  (Yes/No)  |
    24 hours?                    |            |
                                 |            |
12. Mutual aid needed in next    |  (Yes/No)  |
    24 hours?                    |            |
                                 |            |
13. Critical Issues:             |  (Yes/No)  |

14. Prognosis:	(No Change/Worsening/Improving)	

15. POINT OF CONTACT

a. Name:                               b. Phone:  

c. Fax Number:                         d. Alt Phone: 

16. Airport Status:

16a. Airport Name:

Created by:                       on: (date/time)

Last Modified by:                 on: (date/time)