Get Qualified Wildlife Responder Application Form - Mike Joe Coffey

The Qualified Wildlife Responder Application Form is essential for organizations seeking to participate in wildlife response efforts during oil spills. This guide provides clear instructions on how to complete the form accurately and efficiently online.

Follow the steps to effectively complete the application form.

1. Click ‘Get Form’ button to access the application form and open it in your preferred browser.
2. In the first section, provide your organization’s name, phone number, address, zip code, date founded, and years of oil spill experience. Ensure all information is accurate and up-to-date.
3. Fill out the federal/state permit information, ensuring you include any relevant permits your organization holds.
4. Clearly state your organization’s established mission statement in the designated area.
5. For the major spill experience section, prepare and attach a detailed list outlining your organization’s past spill responses, including necessary specifics like incident date, oil type, and species affected.
6. In the oil spill response management team section, include a list of team members detailing their roles, employment status, years with the organization, qualifications, and OSHA training information.
7. Indicate if a licensed veterinarian is part of your response team, and outline any additional professional training your staff receives.
8. Attach a copy of your response management organizational chart as required.
9. Provide a list of relevant scientific publications and research completed in the field in the professional knowledge section.
10. For volunteer information, describe your organization’s experience managing volunteers, the geographical areas served, and training provided.
11. Address human safety/liability by stating whether your organization carries liability insurance and its details.
12. In the commitment of services section, outline your staff's readiness to travel for spill responses and the duration they can commit.
13. Indicate if your organization has a permanent facility and provide relevant details on its operation and compliance.
14. Attach relevant copies of terms, conditions, and sample contracts as required in the terms section.
15. List your procedures and contact numbers for 24-hour notifications as instructed.
16. Finally, ensure the form is signed with the date and title of the person completing it before submission.
17. Once all fields are completed, save changes, download, print, or share the form as needed.

Take action today by completing the Qualified Wildlife Responder Application Form online.