Dispatchers and Amateur Radio Operators Use This Form to Verify Information Is Complete…
PART I:
DISPATCHER’S NAME:
____________________________________________
AMATEUR RADIO OPERATOR CONTACTED:
________________________
TIME OF NOTIFICATION:
__________________________________________
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PART II:
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TYPE OF INCIDENT (CHECK ONE)
a. SEVERE THUNDERSTORM WATCH ________
b.
SEVERE THUNDERSTORM WARNING ________
c.
TORNADO WATCH ________
d.
TORNADO WARNING ________
e.
WINTER STORM ________
f.
OTHER ___________________________ ________
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LOCATION OF INCIDENT:
_________________________________________
_________________________________________________________________
WIND SPEED AND DIRECTION
OF TRAVEL (IF APPLICABLE): ________
_________________________________________________________________
TIME PERIOD OF
INCIDENT: FROM:____________ THRU:
_____________
SPECIAL INSTRUCTIONS:
_________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________