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MAJOR EMERGENCY RESPONSE DRILL
On behalf of Alert Disaster Control (ALERT) we like to thank you for your interest in using our Company. ALERT is the Premier Emergency Response and Integrated Risk Management Solutions Company in the world today and the only Organization to use actual industry specialists to design, develop and facilitate your Major Emergency Response Drill. To assist ALERT in designing an exercise specific to your requirements please indicate your choice of scenario, duration and optional features by marking the appropriate box.

Scenario:
Type of Exercise:
Duration of Exercise:
Escalation:	Fire
	1 2 3 4 5 6 Casualties
	1 2 3 4 5 6 Fatalities
	Hydrocarbon liquid release
	Flammable/toxic gas release
	Hazardous chemical spill
	Loss of key human resources
	Structural failure
	Adverse weather
	Loss of key physical resources
	Media release
	(Choose any of the above)
Resource Utilization:	On site incident response team(s) for Level 1 response
	Management support for Level 2 response
	Crisis management for Level 3 response
	Business recovery team
	Alternate incident management center
	Partners
	Mutual aid members
	Police
	Military
	Coast Guard
	Emergency Response Specialists
	Oil Spill Response Specialists
	Medical Response Specialists
	Helicopter company
	Support vessel company
	Transportation company
	(Choose any of the above)
Contact Person:
Company Name:
Address:
Contact Number:
Fax Number:
Email:

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