1. Impact Assessment

2. RECON AGENCY: Your Agency TEAM: Your Team Designator REPORT #: Internal Team Refrence # TARGET NAME: Name of Target TIME: Local HH:MM DATE: MM-DD-YYYY LAT: 28.123 LON: -82.123 MUST BE DEGREES.DECIMAL DO NOT FORGET THE – (Negative sign) USNG: 17R 1234 5678 COUNTY: County Name

3. RECON Report Section 1 - Debris Scattered aluminum from mobile homes

4. RECON Report Section 1 – Debris / NA ‘SECTION NOT APPLICABLE’ IS JUST AS IMPORTANT AS MAJOR DAMAGE

5. RECON Report Section 2 - Flooding Maple St and 1 st Ave

6. RECON Report Section 3 – Structure Damages Mobile home missing walls

7. RECON Report Section 4 – Infrastructure Many wires down on Maple Street

8. RECON Report Section 5 – Transportation Nick Street at RECON way washed out

9. RECON Report Section 6 – Emergency Services Several windows damaged. Facility still operational

10. RECON Report Section 7 – Casualties Only indicate casualty information from a reliable source, Fire, EMS, Police. Notate the source and contact info in Comments. Exact location.

11. RECON Report Section 8 – Narrative Include a short narrative on report. Include any items that do NOT fit in the above sections. Initial Report Time Sent Method Sent

12. RECON Report Reporting Procedures AGENCY – CAP TEAM -52 REPORT – 001 NAME – Navarre Beach TIME 15:00 ……. CAP 001 Navarre Beach 15:00 52 12-21-2010 26.123 -82.356 17R LM 1235 1235 Hillsborough

13. RECON Report Reporting Procedures ONE –NA

14. RECON Report Reporting Procedures TWO –BRAVO, 1-3 feet –Comments, Maple Street and 1 st Avenue. Maple St and 1 st Ave

27. RECON Website: http://floridadisaster.org/recon/

28. RECON Reporting Tool https://apps.floridadisaster.org/recon