BC Resource Request
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Date of Request: {var fld1}
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Time of Request:
{var fld2}
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Request No.
{var fld3}
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Priority:
{var fld4} |
Task No.:
{var fld5}
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Requested by:
{var fld6} |
Dept/Agency/Function: {var fld7} |
Contact Number:
{var fld8} |
What is being Requested? |
Resource Type/Kind:
{var fld9} Quanity:
{var fld10}
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Units of Measure:
{var fld11}
When Required:
{var fld12}
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Mission (Purpose for Resource)
{var fld13} |
Resource must come with: |
{var fld14} {var fld15} {var fld16} {var fld17} {var fld18} {var fld19} {var fld20} |
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Other: {var fld21} |
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Special Instructions (e.g. Safety message, ingress/egress routes...)
{var fld22} |
Forward Request To: (Organization/Agency/Vendor who ultimately obtains resource – use required fields only) |
Contact Name/Position:
{var fld23} |
Organization/ Agency/Vendor::
{var fld24} |
Contact No.:
{var fld25} |
Estimated Cost: ${var fld26} |
Actions Taken:
{var fld27} |
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Delivery/Assigned Location (use required fields only) |
Location/ Site Name:
{var fld28} |
Street Address:
{var fld29} |
City, Province:
{var fld30} |
Report To:
{var fld31}
Contact Number:
{var fld32} |
Intersection Street 1:
{var fld33} |
Intersection Street 2:
{var fld34} |
Completed by:
{var fld35} |
Function/Title:
{var fld36} |
Date & Time:
{var fld37}
Entered: {var fld38} |
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Financial Approval |
Spending Authority:
{var fld39} |
Function/Title:
{var fld40} |
Signature:
{var fld41} |
Distribution:
{var fld42}
{var fld43}
{var fld44}
{var fld45}
Other:
{var fld46} |
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Sending Call/Tactical:
{var Call}
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Version 2.0 VA7MPG
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