5. Resource Request |
SHADED AREAS TO BE FILLED BY LOGISTICS/FINANCE SECTIONS |
a. Qty |
b. Kind |
c. Type |
d. Detailed item description and/or of task to be accomplished: (Vital characteristics, brand, specs, experience, size, etc.) and, if applicable, purpose/use, diagrams and other inf |
Needed Date/Time |
|
e. Requested |
f. Estimated |
g. Cost |
{var Qty1} |
{var Kind1} |
{var Type1} |
{var Item1} |
{var ReqDateTime1}
|
{var EstDateTime1} |
{var Cost1} |
6. Personnel/Support Needed: (Driver/Fuel Etc.)
{var SupNeed}
|
7. Duration Needed:
{var Duration} |
8. Requested Delivery/Report Location
{var ReqLoc1}
|
9. Delivery/Reporting Location POC (Name and Contact Info)
{var ReqLoc} |
10. Suitable Substitutes &/or Suggested Sources
{var Sub} |
11. Priority : {var Priority}
|
12 . a. Have all commercial resources been exhausted: |
{var B12a} |
b. Have all local resources been exhausted: |
{var B12b} |
c. Have all mutual aid resources been exhausted: |
{var B12c} |
|
13. Requester willing to provided funding :
{var B13}
if "No" Explain:
{var Explain} |
|
14. Requested by Name/Position & phone/email:
{var ReqName} |
15. Request Authorized by:
{var ReqAuth} |
* LOGISTICS * |
|
16. EOC/ECC Logistics Section Tracking #
{var EocNum} |
17. Name of Supplier/POC (Phone/Fax/Email)
{var SupName1} |
|
18. Notes (Be Brief)
{var Notes}
|
Approval Signature of Authorized Logistics Representative:
{var LogRep} |
20. Date & Time: (mm/dd/yy - 0000)
{var DateTime1} |
|
21. Order Placed by:
{var OrderBy}
{var Other}
22. Elevate to State? {var Elevate}
|
23. State Tracking # {var StateNum}
|
24. Mutual Aid Tracking # {var MATracking}
|
|
* FINANCE * |
25. Reply/Comments from Finance
{var FinComm} |
26. Finance Section Signature: {var FinRepName} |
27. Date/Time (mm/dd/yy - 0000)
{var DateTime2} |
|