Get Disaster Call Center - Durham Nc - Wpcdurham

Filling out the Disaster Call Center form is an important step for volunteers participating in mission trips. This guide will provide clear, step-by-step instructions to ensure that all necessary information is accurately completed.

Follow the steps to successfully complete your form.

1. Press the 'Get Form' button to access the form and open it in your preferred online editor.
2. Enter your full name in the designated field at the top of the form.
3. Indicate the dates of your mission trip in the specified section.
4. Provide your blood type in the appropriate section to ensure quick medical identification.
5. List any prescriptions you are currently using in the respective field.
6. Detail any allergies you have in the allergy section provided.
7. Fill out the contact information of your designated emergency contact, including their address, city, state, zip code, phone numbers, and relationship to you.
8. State your health insurance company name, along with your policy number.
9. Note any physical limitations or health concerns you may have in the specified field.
10. Indicate whether you are diabetic or have a history of seizures by checking the appropriate options.
11. Provide any additional health information that may be helpful for the mission team.
12. Affirm your health status by marking the appropriate response regarding your capability to fulfill your responsibilities on the mission team.
13. Sign and date the form at the bottom, and ensure your team leader’s name is clearly indicated next to your signature.
14. Once all sections are completed, save your changes, and proceed to download, print, or share the form as needed.

Complete your form online today to ensure your readiness for the mission trip!