CERT Forms

These are the forms in the CERT manuals.

Forms As of 2011
All Forms Bundle All-Forms-2011.pdf
1. Damage Assessment

Completed by CERT members as they travel through the area to the CERT staging location, then given to the CERT IC/TL; provides a summary of overall hazards in selected areas, including:
  • Fires
  • Utility hazards
  • Structural damage
  • Injuries and casualties
  • Available access
Essential for prioritizing and formulating action plans.
2. Personnel Resources

Used to sign in CERT members as they arrive at the staging location; provides information about:
  • Who is on site
  • When they arrived
  • When they were assigned
  • Their special skills
Used by staging personnel to track personnel availability
3. Incident/Assignment Tracking Log

Used by the Command Post for keeping abreast of situation status; contains essential information for tracking the overall situation
4a-4b. Briefing Assignment

Used by the Command Post to provide instructions to functional teams; used by teams to log their actions and report new damage assessment information
5. Victim Treatment Area Record

Completed by medical treatment area personnel to record victims entering the treatment area, their condition, and their status
6. Communications Log

Completed by the radio operator; used to log incoming and outgoing transmissions
7. Equipment Inventory

Used to check out and check in CERT-managed equipment
8. General Message

Used for sending messages between command levels and groups; messages should be clear and concise and should focus on such key issues as:
  • Assignment completion
  • Additional resources required
  • Special information
  • Status update
ICS 214

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