STATE OF TEXAS ASSISTANCE REQUEST (STAR)           Vers 9     
  Incident Name              Initial Request Date/Time    

  Requesting County 
     Request # 

  Is this RR Tied to Another Request?    
      Other Tracking Numbers      

Requested Item Description
Qty Unit Item Name Item Description Cost Demob?
 Justification -  Purpose for Request?
 
When is this Resource Needed?     Estimated Needed Time Frame of Item?  

Delivery Information - Way Point Information

Point of Contact Name Phone # (s) Facility Name Zip
 Facility Address      City     State  
 Additional Instructions
 

Final Destination

Point of Contact Name Phone # (s) Facility Name Zip
      Facility Address    City      State 
 Additional Instructions  
 

Requester Information

Requested by Position / Name Email Phone # (s)