Emergency Management Public Speaking/Event Participation Request Form

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Emergency Management

Requesting Organization

Organization Point of Contact

Name

Cell Phone

Address/Location of Event

Date of Event

Time of Event

Length/Time of Presentation/Participation Requested

Number of Participants

Age Group of Participants

Adults
Children

Requesting

Disaster Preparedness Presentation
Emergency Operations Center/Public Safety Tour
Handout Material (brochures, guides, etc)
Mobile Command Truck Demonstration
Other Presentation (describe below)

Other Presentation (please describe)

Event Type

Online Meeting Space
Face-to-Face Presentation

Specific Requests or Special Needs

Once you have submitted your request, Emergency Management staff will contact you to follow up within 5 business days with any specific information and to confirm staff availability. Should there be a need for you to reach out to Emergency Management directly, you can contact them at 850-471-6400.

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The mission of Escambia County government is to provide efficient, responsive services that enhance our quality of life, meet common needs and promote a safe and healthy community.

Under Florida law, IP addresses and both the content of emails and email addresses are public records. If you do not want your IP address and the content of your email or your email address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in person.