Tel. 802.244.8721 | Toll Free 1.800.347.0488 | HazMat 1.800.641.5005 | TTY 1.888.545.7598 | FAX 802.241.5556 State of Vermont | Department of Public Safety | VEM Home Page | Situation Report | Contact VEM

• Download the template - 7/6/09 (MS Word 2.2 mb)

• Microsoft Word format
• Adobe Acrobat format

FA-1 Transportation
FA-2 Communications and Alerting
FA-3 Public Works and Engineering
FA-4 Fire Fighting
FA-5 Emergency Management
FA-6 Mass Care and Shelter
FA-7 Resource Support
FA-8 Health and Medical Services
FA-9 Search and Rescue
FA-10 Hazardous Materials
FA-11 Animal and Plant Emergency Services
FA-12 Energy
FA-13 Law Enforcement and Security
FA-14 Public Information

To download a Local Jurisdiction Request for Emergency Declaration - 

Microsoft Word    - Adobe Acrobat