Other Entry Field
YOUR E-mail Address:
Date of Incident
standard date entry, if applicable (MM/DD/YY)
Team Name
team name
Type of Intervention
referral
one-on-one intervention
on-scene support services
demobilizations
specialty debriefings
crisis management briefing
other miscellaneous
Hours: Incident to Session
elapsed time from incident to session, rounded to the nearest full hour
Session Length - Hours
length of session; rounded to nearest quarter hour
Approx. Travel
average travel time for one team member; rounded to the nearest quarter hour
Number of Team Members
number of this team's members at this session
Requesting Agency
agency name; not a code #
Agency Type
two-digit code from "Agency List" relating to the type of agency
Other Agencies
two-digit code from "Agency List" relating to type of agency list all that apply
Number at Session
number of persons from all agencies at this session
Nature of Incident
brief description of incident
Incident Type
100 code from "Incident List relating type of incident
Victim Category
200 code from "Victim Category" describing the number and age group of victim of the incident
Comments:
