Fillable Sanford Communications Center (Lee County Government)

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Sanford Communications Center (Lee County Government)

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The Sanford Communications Center (Lee County Government) form is 4 pages long and contains:

  • 4 signatures
  • 5 check-boxes
  • 27 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Lee County Government

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Sanford Communications Center
Communications Performance Report
*Reporting party should complete page one with as much detail as possible. Page two to be
completed by the Sanford Communications Center in response to the report.
Performance Category (CHECK ONE): Positive Negative Appeal
Date / Time of Incident: / / : Incident Number:
Individual Reporting: Position:
Organization: Date of Report: / /
Description of Incident:
Effect on Operations:
Signature of Reporting Party: Date:
Emergency Services Director: Date:
Communications Director: Date:
SUBMIT TO EMERGENCY SERVICES DIRECTOR
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*Section to be completed by the Sanford Communications Center.
Date Report Received: / / Reviewing Party:
Results of Incident Review:
Reviewer in agreement with reporting party? Yes No
Corrective Action or Recommendation (IF REQUIRED):
Signature of Reviewing Party: Date:
Comments:
• Once complete, the reporting party will submit this form to the Lee County Emergency
Services Director.
• After review, the Director of Emergency Services will submit this report to the Sanford
Communications Director within 5 days of receipt. The Director may contact the
reporting party if more information is required.
• After receipt, the Director of Sanford Communication will review and address the report
within 15 days of receipt.
• Following this review and addressing of the report, the completed form will be returned
to Lee County Emergency Services and the reporting file for records retention.
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signature
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Additional Information (REPORTING PARTY):
Additional Information (RECEIVING PARTY):
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Sanford Communications Center (Lee County Government)

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Completed 18 July 2020

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