TO: W7OEM
CC: K7VV;KE7NIY
From: <Callllsign>
Subj: <Callsign> - <DateTime> - DOE
Msg:
DECLARATION OF EMERGENCY

To:      Governor, State of Oregon
Through:  Director, Oregon Emergency Management

From:  Sue Lamb, Yamhill County Emergency Manager

Message:

A. Yamhill

B. (Type of incident)

C. (Beginning date and time of incident)

D. (Ending date and time of incident, or word "Continuing")

E. (Describe problem and type assistance needed for the incident)

F. (Abbreviated initial assessment of damage, number of injuries and deaths)

G. (List actions pending or taken by county and other local Governments)

H. <DateTime>

I. /s/ (Signature(s) of authorizing official(s))
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Note: Send an initial SITREP Report, a separate report from this item as soon as possible.

Oregon Emergency Management Declaration of Emergency Short Form V 2.1 revised 24 August 2013