HazAdapt Regional Content Estimate & Request Form
Thank you for supporting your community's resilience with HazAdapt!
HazAdapt is a free community resilience tool that is proposing to boost regional safety information and resources in their extensive hazard guide. 

See HazAdapt:  https://app.hazadapt.com/

Service Description
HazAdapt Regional Content is a service by which emergency management and community resilience agencies can add their regional information and contacts to HazAdapt with a yearly subscription. As people enter into their jurisdiction's geographical boundary, their HazAdapt app or web tool will make that local content available to them with 7 language options. HazAdapt will assist the implementation and outreach of this tool to your community.
FORM 
This form is a service estimate request and/or the application for 6-month Community Feedback Trial for HazAdapt Regional Content. (Indicate below)

Please confirm your organization details, areas covered, regional content to be added, and subscription plan type. 
These details will determine the subscription type, cost, and timeline logistics for your content to be added to HazAdapt.

Please allow 1-3 business days for a cost confirmation and proposal of service to be sent to the contact listed on this form. 

Content transfer will begin after service agreements have been signed and the transaction has taken place. 

Thank you! We look forward to serving your community.

For any questions or assistance, please reach out to our team.
team@hazadapt.com 
541-991-8115
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Email *
Name of organization *
Point of contact for your organization *
Please provide the name, email, and telephone number for the person in charge of working with HazAdapt. 
Confirm subscription interest (select all that apply)
HazAdapt will be offering qualified groups a 6-month trial subscription with the opportunity to provide feedback on HazAdapt regional content service. Trial subscription spots are limited and include one of each content type. In lieu of a monthly fee, trial subscribers will be asked to provide 2 rounds of feedback with the HazAdapt team.

Yearly subscription costs are based on area covered and amount of content selected. 

If you are interested in applying for the 6-month community feedback trial AND getting an estimate for hosting regional content on a yearly subscription, please select "I am interested in both". HazAdapt will confirm the total potential cost of the yearly subscription and trial acceptance based on trial spot availability. 

All subscription types will be subject to a small set up and review fee. ($315 for trial subscriptions)
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