Request number Resource Requisition Form 1. PERSON MAKING REQUEST Name: Position: Phone No: 2. REQUEST DETAILS Detailed description of resource (include size, capacity, use) Location (destination where the task/resource is to be completed/delivered) – Target date & time (time for completion/delivery of task/resource) Date: Time: am/pm Contact person (the person taking delivery of the task/resource if different from person making request) Name: Position: Phone: Authorization (the person that has authority to make the request) Name: Signature: Position: 3. ACTION DETAILS Office Use – (the person who will take action on the request) Referred to Name: Position: Phone No: Referral date & time Date: Time: am/pm Estimated Cost $ Recommended Section Manager – Name: Signature: Position: ID No: Approval– (same person who authorized request) Name: Signature: Position: 4. COMPLETION DETAILS Name: ID No:
Resource Requisition Form Request number 1. PERSON MAKING REQUEST Name: Position: Phone No: 2. REQUEST DETAILS Detailed description of resource (include size, capacity, use) Location (destination – where the task/resource is to be completed/delivered) Target date & time (time for completion/delivery of task/resource) Date: Time: am/pm Contact person (the person taking delivery of the task/resource if different from person making request) Name: Position: Phone: Authorization (the person that has authority to make the request) Name: Signature: Position: 3. ACTION DETAILS – Office Use Referred to (the person who will take action on the request) Name: Position: Phone No: Referral date & time Date: Time: am/pm Estimated Cost $ Recommended – Section Manager Name: Signature: Position: ID No: Approval– (same person who authorized request) Name: Signature: Position: 4. COMPLETION DETAILS Name: ID No:
municipal_emergency_management_program_guide.docx