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INCIDENT REPORT FORM Please fill out this form and send a copy to your Emergency Coordinator and to ARRL Headquarters. Nature of emergency/disaster: ____________________________________________________________________________________ ____________________________________________________________________________________ Dates of activity: _______________ Places or areas involved:____________________________________ Nets and/or frequencies used: ____________________________________________________________________________________ Number of participating amateurs: _________ Number of messages handled:________________________ Agencies supported: ___________________________________________________________________ ARES leadership officials managing deployment: ____________________________________________________________________________________ Your name/call:___________________________ Signature: ____________________Date:____________ |