HEF

Health Department Resource Supply Form

Health Department Name(Required)

Evaluator Name(Required)

First Last

Evaluator Email(Required)

1. Upon notification of the incident, how long did it take your health department to assess available resources that you could commit to assist with the response?(Required)

2. How long did it take your health department to report available resources to the emergency operations center?(Required)

3. How long did it take your agency to notify all staff of the emergency event that was happening?(Required)