Rochester New York Form 8867 2024-2025

Rochester New York Form 8867: What You Should Know

Toll Free: 1(888) 524‑2566. E-Mail: mgrcityofrochesterny.gov In addition to all the information that the form provides, these instructions include the following additional items which you should also take into account: 1. Prepare the completed NYS Statewide Emergency Management Plan Form 8867 (1) by writing “NYS Statewide Emergency Management Plan Form 8867” on the top left-hand corner of the form by printing the form. (2) Sign and date the form by writing “NYS Statewide Emergency Management Plan Form 8867—Signature” on the top left-hand corner of the form. (3) Print the Emergency Preparedness Checklist in the upper left-hand corner of the form. Print the list in one copy. Place the first column, “All Other Situations,” above the list in the order below. (a) “Call for Support—Fire” (b) “Inspect a Facility” (c) “Inspect a Power Outage” (d) “Search a Facility” 2. Complete the Emergency Preparedness Checklist at the bottom of each column in the order below, at the appropriate columns for each category of emergency. (i) Call for Support—Fire (3) Inspect a Facility (4) Inspect a Power Outage (5) Search a Facility (6) Use of Information Technology (7) Other Information (8) If the event is “Call for Support” or “Inspect a Facility”: (A) Use of Information Technology: (i) “Search a Facility”: (A) If search is successful and there are no signs of life, use the number of personnel as the “search radius” for the next emergency (B) If a person can be located who has a current telephone number, call the number; and (B) If a person is found with a telephone and no telephone number, the call will be placed to the facility as soon as the facility is notified. If the call cannot be placed, contact the area commanding officer. (ii) “Fire”: If fire is requested at a location within 25 miles of a request. This event is a “Search a Facility.” If fires in other facilities within your jurisdiction have been reported with no fires found, contact the facility being searched for assistance.

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