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Public Health Emergency Response Guide for State, Local, and Tribal Public Health Directors - Version 2.0

Templates


Title Microsoft Word Files
(can be filled out on computer
and/or printed out)		 PDF Files
(can be printed out)
English Spanish
 English Spanish
Template 1. Documentation of Contacts and Actions
Allows for the documentation of contacts and activities during the response to an incident.
 57 KB/3 pages 26 KB/3 pages 11 KB/3 pages 19 KB/3 pages
Template 2. Health Department Personnel Emergency Contact Information
Allows for the listing of contact information for key personnel within your health department. It should be completed by the user prior to an incident.		 26 KB/2 pages 26 KB/2 pages 11 KB/2 pages 21 KB/2 pages
Template 3. State, Local, and Tribal Emergency Contact Information
Allows for the listing of contact information for state, local, and tribal response partners within your community. It should be completed by the user prior to an incident.		 27 KB/2 pages 27 KB/2 pages 11 KB/2 pages 22 KB/2 pages
Template 4. Leadership Assignments
Allows for the documentation of public health leadership assignments during the response to an incident.		 37 KB/5 pages 38 KB/5 pages 37 KB/5 pages 29 KB/5 pages
Template 5. Incident-Specific Public Health Preparedness
Enables health departments to rank their level of preparedness to respond to specific types of incidents.		 30 KB/4 pages 30 KB/5 pages 14 KB/4 pages 30 KB/5 pages

 

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