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.
Damage-Assessment-2011.pdf
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
Personnel-Resources-2011.pdf
3. Incident/Assignment Tracking Log

Used by the Command Post for keeping abreast of situation status; contains essential information for tracking the overall situation
Assignment-Tracking-Log-2011.pdf
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
Briefing-Assignment-2011.pdf
5. Victim Treatment Area Record

Completed by medical treatment area personnel to record victims entering the treatment area, their condition, and their status
Victim-Treatment-Area-Record-2011.pdf
6. Communications Log

Completed by the radio operator; used to log incoming and outgoing transmissions
Communications-Log-2011.pdf
7. Equipment Inventory

Used to check out and check in CERT-managed equipment
Equipment-Inventory-2011.pdf
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
General-Message-2011.pdf
ICS 214
ICS-214.pdf

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