Get Resource Request Form 2020-2025

The Resource Request Form is an essential tool designed to streamline the process of requesting assistance from the Pennsylvania Emergency Management Agency. This guide will provide you with clear, step-by-step instructions on how to complete this form efficiently.

Follow the steps to fill out the Resource Request Form online

1. Press the ‘Get Form’ button to access the Resource Request Form and open it in your preferred document editor.
2. In the first section, labeled 'Requesting Assistance', provide the current date and time in the designated field. Enter the incident identification number assigned to your emergency situation.
3. Fill in your name and the organization you represent in the appropriate fields, followed by your title.
4. Indicate the municipality and county where the request is originating from. Ensure accuracy in your responses.
5. Input your contact information, including your phone number and email address, in the respective fields.
6. Confirm if you are representing a state agency by filling in that particular field; otherwise, leave it blank.
7. In the 'Requested Assistance' section, provide a detailed description of the requested assistance along with its capabilities.
8. Specify the quantity of resources needed in the corresponding field and indicate the date and time these resources are required.
9. Select the priority level of your request, categorizing it as lifesaving, life sustaining, property preservation, incident stabilization, or planned event.
10. Indicate whether mutual aid has been attempted and whether your organization’s procurement process was utilized.
11. List any logistical requirements that are associated with your request, such as transport needs.
12. Provide the delivery site location and the point of contact's (POC) information, including their phone number.
13. Ensure that an authorized representative signature is included, acknowledging the potential costs associated with the request.
14. If applicable, complete the review section by acquiring the required signatures from the county EMC or designee along with the PEMA area office.
15. If sourced, complete the sourcing review and coordination section, including signatures from the appropriate chiefs.
16. In the last part of the form, indicate whether the action taken on your request was accepted or rejected and document the relevant notification details.

Begin filling out your Resource Request Form online today.