FLORIDA FACILITY MANAGERS ASSOCIATION





    
Florida Facility Evacuation Information - Submission

Florida Facility Evacuation Survey:
Venue Information:
Facility Name
Website/URL:
(i.e., http://www.yourvenue.com)
Address
City
State
Zip Code
County
Geographical Location
Facility Phone
Facility FAX
Venue Evacuation Information:
Facility Type
Parking Spaces
Male Restrooms
Female Restrooms
Number of Showers
Are You in a Flood Plain?
Are you sanctioned or do you have an agreement with the American Red Cross to be a disaster shelter?
If you are a designated shelter, can you serve as a special needs shelter?
Have you previously provided any type of service for emergency situations within your community?
Please explain.
(255 characters max)
Have you previously provided any type of service for emergency situations for other communities?
Please explain.
(255 characters max)
Are your facilities equipped to be an emergency command post for emergency services?
Are your facilities equipped to be a regional or local distribution center for supplies in emergency situations?
Are you invited to your local EOC meetings?
What is the name of the closest EOC administration that you deal with in your local area?
If unknown, type N/A.
During an emergency, what organization currently deals with the usage of your facility for community relief, shelter and/or services?
What direction would you like FFMA to provide you with to facilitate the emergency planning and operations of your facility?
(255 characters max)
Are you interested in serving on or assigning a staff member to serve on the FFMA Disaster Shelter Task Force?

If no, leave fields blank.
(Name)

(Position)

(Phone Number)

(E-Mail Address)
Special Evacuation Directions/Instructions
 (255 characters max)




Please press the "Submit" button only once.
You will receive a confirmation page once the information has been successfully submitted.
FLORIDA FACILITY MANAGERS ASSOCIATION