FSD-212

Monthly Reporting Form for EC / DEC's

 

    Please be sure to take note..  ( * ) = required fields.              

 

 * (1) EC or DEC for (County / District):   

 

 

 * (2) Month:       

 

 

 * (3) Year: 

 


 * (4) Total number of ARES Members:         

 

 

 * (5) Change since last month:     (example.. negative numbers to be written as  -X)

 

 

 * (6) Local Net Name:     

 

 

 * (7) Number of Sessions:        

 

 

             (7a)   Local Digital Net Name    

 

 

           (7b)   Number of Sessions       

 

 

 * (8) NTS Liaison Maintained with what net:   

 

 

 * (9) Number of Drills Tests and/or Training Sessions this month:   

 

 

 * (10) Man Hours:  

 

 

 * (11) Number of Public Service Events This Month:    

 

 

 * (12) Man Hours:  

 

 

 * (13) Number of Emergency Operations this month:    

 

 

 * (14) Man Hours:  

 

 

 * (15) Total of ARES/RACES Events this month:    add boxes 7; 7b; 9; 11 & 13 together for this total

      

 

 * (16) Total Man Hours:   add boxes 10; 12 & 14 together for total

    

 

 * (17) Comments:   (If no comments type NONE in the box - Maximum of 10,000 characters)

 

 

 

 

 * (18) Signature:   

          (by typing your name in this block, you are electronically signing this reporting form)

 

 

 * (19) Call Sign:  

 

 

 

 * (20) E-mail address: 

                  (Please make sure your email address is correct, a copy of the completed form will be sent to this address)

 

 

   Want to upload a file to go with the form?

  

 

 

   EC'S - Select the appropriate DEC (1 - 10) to email your form to.

 

   DEC's - select 11 to email to the SEC

 

                                    

 

 


  
         

   * Print This Form!

Rev:  01/20/2014