California Standardized Emergency Management System
                            Volunteer Resources Report
                                 Equipment Card

Equipment Category: 

Item Description:  

Quantity Available: 

Location of Item:  

Means of Obtaining: (Purchase/         Specify Other:
                    Donation/Rental/
                    Other)

Cost:                   Per Item:                Per Hr:
		
Name of Provider:  

Address of Provider: 

Contact Person:  

Telephone Numbers:

Day:                    Evening:                 24-Hr:

Tranportation Required: (Yes/No)       Preferred Method:

Are Personnel Required to Operate Equipment? (Yes/No)    Number:

Comments:  

Information Taken by:                   Date: (date/time)

Created by:                        on:

Last Modified by:                  on: