Serving the Community with Pride

CERT Forms

Downloadable forms used by Elk Grove - Galt CERT members for activities such as documentation during and after any response to an incident.

1001 Make-Up Class Authorization - If you miss a class, fill out the Make-up Class Form, have the make-up class instructor sign it, and return the completed form to your original training agency.

1002 Damage Assessment-Neighborhood - Summary of all hazards in area

1003 Damage Assessment Sketch - Sketch of all hazards in area

1004 CA OES Disaster Service Worker - 
This is a state form that is required to be completed and turned in for all CERT volunteers

1005 Equipment Resources Inventory - Keep track of equipment

1006 Incident Briefing Report - Sketch a map of the incident area with any hazards. Summarize the actions of your teams

1007 Incident Status Report - Record incident assignments from Damage Assessments

1008 Message Record - Use for all communications. (assignment completed, additional resources needed, unable to complete, special information/status update)

1009 Personnel Resource Log - Staging: Have people sign in and list their skills

1010 Team Assignment Roster - Track personnel on an assignment

1011 Victim Treatment Log - Document each person brought to the treatment area

1012 CERT Level 3 Team Tracking Log - Booth staff should use this form to document Level 3 Team assignments, as well as the time each team checks in and out during their event patrols.

Elk Grove - Galt CERT - Sponsored by the Cosumnes Community Services District Fire Department
In partnership with the Elk Grove City Police Department and the Galt City Police Department

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