CERT Forms

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
Formulario-de-Evaluación-de-Los-Daños-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
Registro-de-Recursos-Humanos-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
Diarios-de-Seguimiento-de-Tareas-2011.pdf

4a-4b. 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
Instrucciones-Sobre-las-Tareas-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
Registro-del-Área-de-Tratamiento-de-Víctimas-2011.pdf

6. Communications Log
Completed by the radio operator; used to log incoming and outgoing transmissions
Communications-Log-2011.pdf
Registro-de-Comunicaciones-2011.pdf

7. Equipment Inventory
Used to check out and check in CERT-managed equipment
Equipment-Inventory-2011.pdf
Inventario-del-Equipo-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
Mensaje-General-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 818-804-5302.
Volunteer-Enrollment-Form.pdf

Operational Area Make-Up Class Form
Do you have to miss one of the classes? You can make it up at any location. You can open the form below and fill it out or print it and fill it out.
Operational-Area-Make-up-Class-Form FILLABLE.pdf

ICS 214
ICS-214.pdf