State of Missouri
Local Situation Report
Date:________________ Time: ________________ County: _____________________________
Reported by: _____________________________________________________________________
Phone Number: (________)________________________
Has a county/city declared an emergency or disaster? Yes No
Describe in as much detail as possible what has happened or what you anticipate. Include impact on individuals, businesses and infrastructure.
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When did it happen or when is it anticipated?
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What actions have been taken?
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What actions still need to be taken?
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What resources outside of the jurisdiction may be needed? (Be specific)
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SEMA Fax Number (573) 634-7966