CERT Forms

The most important thing to do is to write down what happened during a major incident. The information can be written down on the sample forms provided or it can be written down on a piece of paper. Every entity such as a functional team or staging location must have a scribe to record everything. The IC/TL typically designates the scribe and provides some simple instructions. There are eight standard forms that can be used to facilitate documentation and information flow. The forms are functionally consistent with Incident Command System (ICS) forms and are designed to be NIMS compliant.

Damage Assessment

Completed by CERT members as they travel through the area to the CERT’s staging location, then given to the CERT IC/TL; provides a summary of overall hazards in selected areas including: Fires, Utility Hazards, Structural Damage, Injuries and Casualties, Available Access. Essential for prioritizing and formulating action plans.

English: Damage Assessment Form

Spanish: Evaluacion de los Daños

Personnel Resources

Used to sign in CERT members as they arrive at the staging location; provides information about WHO is on site, WHEN they arrived, WHEN they were assigned, their special skills. Used by staging.

English: Personnel Resources Form

Spanish: Registro de Recursos Humanos

Incident Tracking Log

Used by the Command Post for keeping abreast of situation status; contains essential information for tracking the overall situation.

English: Incident Tracking Log

Spanish: Diarios de Seguimiento de Tareas

Briefing Assignment

Used by the Command Post to provide instructions to functional teams; used by teams to log their actions and report new damage assessment information.

English: Briefing Assignment Form

Spanish: Instrucciones Sobre las Tareas

Victim Treatment Record

Completed by medical treatment area personnel to record survivors entering the treatment area, their condition, and their status.

English: Victim Treatment Record

Spanish: Tratamiento de Victimas

Communications Log

Completed by the radio operator; used to log incoming and outgoing transmissions.

English: Communications Log

Spanish: Registro de Comunicaciones

Equipment Inventory

Used to check out and check in CERT-managed equipment.

English: Equipment Inventory Form

Spanish: Inventario del Equipo

General Message

Used for sending messages between command levels and groups; messages should be clear and concise and should focus on such key issues as: Assignment completion, Additional Resources Required, Special Information, and Status Updates.

English: General Message Form

Spanish: Mensaje General

Download Forms

To download the forms, click on the title of the form.

If you have any questions or problems during the downloading process, please contact us at 562-570-2525 or CERT@longbeach.gov.