CERT Forms

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.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.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.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-Assignments.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.pdf

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

7. Equipment Inventory
Used to check out and check in CERT-managed equipment
Equipment-Inventory.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-Log.pdf

Volunteer Enrollment Form
This is a form required for all volunteers and should be updated with any information changes or verified correct every three years. 

Hold Harmless Form
This is a form required by all volunteers who serve in Richland County.

ICS 214 Activity Log
ICS-214-Acttivity-Log.pdf