Agency Information

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* 1. Name (First, Last)

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* 2. E-mail Address

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* 3. Job Title

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* 4. Agency

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* 5. What type of jurisdiction are you?

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* 6. How many people do you serve?

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* 7. Does your jursidiction have a dedicated emergency manager?

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* 8. If yes, what department/division are they in?

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* 9. Does your jurisdiction differentiate emergency managers from first responders?

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