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["Subgrantee Information"]
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[null,"Subgrantee Agreement Number: "]
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[null,"Agency:"]
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["Please complete this form, sign and return to AZDOHS with award packet materials."]
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[null,"1.a. Select your jurisdiction type:"]
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[null,"If you marked other, please explain:"]
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[null,"1.b. If all components of your jurisdiction are not accounted for, please explain:"]
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[null,"2. Has your jurisdiction formally adopted and/or maintained adoption of the National Incident Management System as your all-hazards incident management system for Fiscal Year (FY) 2014?"]
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[null,"3. Has your jurisdiction reviewed and revised the following types of plans to incorporate NIMS components, principles, and policies? "]
[null,"Emergency Operations Plans",null,null,null,"Mitigation Plan"]
[null,"Standard Operating Procedures",null,null,null,"Training Plan"]
[null,"Standard Operation Guidelines",null,null,null,"Continuity Plan"]
[null,"All Hazard Plan"]
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[null,"4. Has your jurisdiction established (and/or have in development) the following types of mutual aid agreements, compacts, and/or assistance agreements?  "]
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[null,"Intrastate Agreements",null,null,null,null,"Interagency and Interstate Agreements"]
[null,"Throughout the State/Territory?",null,null,null,null,"Throughout the jurisdiction?"]
[null,"That include the Private Sector?",null,null,null,null,"That include the Private Sector?"]
[null,"That include NGOs?",null,null,null,null,"That include NGOs?"]
[null,"That include Tribal Nations?",null,null,null,null,"That include Tribal Nations?"]
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[null,"5.a. Have NIMS concepts and principles been incorporated into appropriate training within your jurisdiction?"]
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[null,"5.b.  If yes, which of the following has been incorporated?"]
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[null,"6. Has your jurisdiction implemented a training program to ensure that the appropriate emergency/incident response personnel, as identified in the NIMS Training Program, receive NIMS training in accordance with their incident management responsibilities?"]
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[null,"7. Which, if any, of the following are priorities for your jurisdiction to incorporate into training in the coming year? Please choose up to three options from the list below."]
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[null,"Other (please specify):"]
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[null,"8.a. Have NIMS concepts and principles been incorporated into appropriate exercises within your jurisdiction?"]
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[null,"8.b.  If yes, which of the following has been incorporated?"]
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[null,"9. Which, if any, of the following are priorities for your jurisdiction to incorporate into exercises in the coming year? Please choose up to three options from the list below."]
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[null,"Other (please specify):"]
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[null,"10. Does your jurisdiction maintain an inventory of its response resources and assets? "]
[null,"11. Does your jurisdiction use an interoperable tool, such as the Incident Resource Inventory System (IRIS), to inventory response resources and assets?"]
[null,"12. Has your jurisdiction typed and inventoried your response resources and assets consistently with available national NIMS resource typing definitions and job titles/position qualifications, available through the Resource Typing Library Tool at "]
[null,"http://www.fema.gov/resource-management?"]
[null,"13. Does your jurisdiction have a process to determine availability of response resources and assets in accordance with national NIMS resource typing definitions and job titles/position qualifications, available through the Resource Typing Library Tool at "]
[null,"http://www.fema.gov/resource-management? "]
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[null,"14. What priorities has your jurisdiction identified to enhance your implementation of NIMS in the coming year? Please check up to three."]
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[null,"Other (please specify):"]
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[null,"15. Does your jurisdiction have an access and re-entry plan in order to control the flow of resources and personnel into the area of an incident?"]
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[null,"16. Please list any tools, training, guidance, or support that would be helpful in further enhancing your jurisdiction’s implementation of NIMS:"]
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[null,"Authorized Signature"]
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[null,"Print Name and Title"]
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[null,"Date"]