Lehigh Acres
 Community Emergency Response Team

CERT logo

Citizen Corp Logo

FEMA logo


CERT Field Forms

These are the forms for use by the Lehigh Acres CERT, Lehigh Acres, Florida 33974

Lehigh Acres CERT Forms Bundle Lehigh Acres CERT Form Bundle
CERT Field Operations Guide Field Ops Guide
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
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

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
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
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
6. Communications Log

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

Used to check out and check in CERT-managed equipment
Equipment Inventory
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
9. CERT Search and Rescue Size up Checklist CERT Search and Rescue Size UP
10. CERT Size UP Evaluation
  • 8 x 11.5  Format
  • 11 x 17 Format

CERT Size UP Evaluation - Letter
CERT Size UP Evaluation - 11x17

To read and print PDF files, you need the Adobe Acrobat reader, which is available free from Adobe.

Hit Counter