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Public Service Activity Report
Public Service Activity Report
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* Indicates required question
Name of Person making report:
*
Your answer
Email address:
*
Your answer
Nature of Activity (Check all that apply)
*
Exercise & Training
Public Service Events
Emergencies & Disasters
Severe Weather
Required
Places or areas involved:
*
Your answer
Number of Amateurs participating:
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Your answer
Event Start Date: (mm/dd/yyyy)
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MM
/
DD
/
YYYY
Event End Date: (mm/dd/yyyy)
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MM
/
DD
/
YYYY
Duration of event: (hours)
*
Your answer
Total Person Hours:
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Your answer
List Spectrum used:
*
Your answer
Types of Agency:
*
Public Safety
Red Cross
National Weather Service
Emergency Management
Salvation Army
Other VOADS
Required
List Call Signs of Amateur who were major participants:
*
Your answer
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