OHSEM Emergency Contact Update Form: – Montgomery County Office of Homeland Security & Emergency Management

OHSEM Contact Updates

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OHSEM Contact Emergency Contact Information Updates:

Agency:*

Discipline:*

Please rank your personnel on who has the authority to make decisions in emergency situations on behalf of your organization.

Emergency Point of Contact #1:*

24/7 Contact Number:*

Email:*

Emergency Point of Contact #2:*

24/7 Contact Number:*

Email:*

Emergency Point of Contact #3:*

24/7 Contact Number:*

Email:*

Public Information Officer Point of Contact:*

24/7 Contact Number:*

Email:*

Additional information you would like the Montgomery County Emergency Operations Center to have on file for your agency: (This may include who your onsite EOC assigned liaison is in the event of an activation.)