LARGE ANIMAL FACILITIES SURVEY - New Jersey
LARGE ANIMAL FACILITIES SURVEY
Please return to: NJDA, attn: Lynn Mathews, P.O. Box 330, Trenton, NJ 08625
NAME -
ADDRESS -
CITY -
STATE -
ZIP CODE -
COUNTY -
TELEPHONE NUMBER -
(best number to call in the event of an emergency)
EMAIL ADDRESS - _______________________________________________________
1. WOULD YOU BE WILLING TO BOARD LARGE ANIMALS IN AN EMERGENCY? FOR HOW LONG?
HOW MANY AND WHAT TYPE (cows, horses, etc.) ?
DURING WHAT MONTHS WOULD THE ABOVE FACILITIES BE AVAILABLE IN AN EMERGENCY
2. WOULD YOU BE ABLE TO ASSIST IN EVACUATION OF LARGE ANIMALS IN YOUR AREA ?
NUMBER OF TRAILERS AND SIZE -
NUMBER OF VANS AND SIZE -
DISTANCE YOU WOULD BE WILLING TO TRAVEL -
3. DO YOU HAVE MANPOWER THAT COULD ASSIST WITH FEEDING AND CARE OF THESE RELOCATED
ANIMALS?
4. CAN YOU KEEP EVACUATED ANIMALS SEPARATED FROM YOURS? _________________
5. EMERGENCY CONTACTS AND PHONE NUMBERS
A. CONTACT # 1 -
B. CONTACT # 2 -
6. DO YOU HAVE AN EMERGENCY GENERATOR TO PROVIDE POWER?
Response to this questionnaire is voluntary. All personally identifiable information collected by this questionnaire is confidential and will be used to update the emergency preparedness information files that the Animal Emergency Working Group (AEWG) uses in case of evacuation and sheltering needs. Your information will not be used for purposes of taxation, investigation, or regulation. The AEWG will not sell or give this information to mailing or emailing lists.
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- large animal facilities survey new jersey
- som state of michigan
- appendix 1 to lgip oati websmartoasis
- the gilded age often fails to generate much enthusiasm
- 30 2 objectives home us forest service
- department of the army letterhead
- large generator spreadsheet instructions
- new york state department of transportation
Related searches
- new jersey teacher certification lookup
- new jersey school report card
- state of new jersey department of treasury
- new jersey teacher lookup
- new jersey teacher license verification
- new jersey medical license verification
- new jersey insurance commissioners office
- vanguard new jersey locations
- my new jersey mbos
- new jersey medical license verification form
- new jersey physician license verification
- new jersey department of insurance lookup