Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.FOR PRACTICE ONLY - THIS DOES NOT ACTIVATE THE SYSTEM!!! --- ONLY THE REQUESTOR EMAIL WILL RECEIVE A NOTIFICATION If this were the actual Rapid Activation, this would show the following: By submitting this form you are affirming that you are duly authorized to request resources on behalf of the jurisdiction listed below!Jurisdictional AuthorityJurisdiction *SELECT ONEOTHERAdams CountyAlamosa CountyArapahoe CountyArchuleta CountyBaca CountyBent CountyBlack Canyon Nat'l ParkBoulder CountyBroomfield CountyChaffee CountyCheyenne CountyClear Creek CountyColorado Office of Emergency Mgt.Conejos CountyCostilla CountyCrowley CountyCuster CountyDelta CountyDenver City & CountyDinosaur Nat'l MonumentDolores CountyDouglas CountyEagle CountyEl Paso CountyElbert CountyFremont CountyGarfield CountyGilpin CountyGrand CountyGreat Sands Dunes Nat'l ParkGunnison CountyHinsdale CountyHuerfano CountyJackson CountyJefferson CountyKiowa CountyKit Carson CountyLa Plata CountyLake CountyLarimer CountyLas Animas CountyLincoln CountyLogan CountyMesa CountyMesa Verde Nat'l ParkMineral CountyMoffat CountyMontezuma CountyMontrose CountyMorgan CountyOtero CountyOuray CountyPark CountyPhillips CountyPitkin CountyProwers CountyPueblo CountyRio Blanco CountyRio Grande CountyRocky Mtn Nat'l ParkRoutt CountySaguache CountySan Juan CountySan Miguel CountySedgwick CountySouthern UteSummit CountyTeller CountyUte Mountain UteWashington CountyWeld CountyYuma CountyIf your Jurisdiction does not appear on the list, Select OTHER and type it into the SITUATION section.Official Authorizing this request on behalf of the Jurisdiction? *Official's Name & Title and/or Badge NumberAuthorized AHJ Official's Email *A confirmation of this request will be emailed here if this field is filled out. (NOTE THIS FEATURE IS DISABLED ON THE PRACTICE VERSION)Requesting AgencyRequesting Agency *SELECT ONEOTHERCounty SO/AHJ - DirectState Office Emergency MgtCounty Office Emergency MgtAFRCC Direct CallAlamosa Volunteer SARAlpine Rescue TeamArapahoe Rescue Patrol, IncBlack Canyon Natl ParkBoulder Emergency SquadChaffee County SAR - NorthChaffee County SAR - SouthCO Parks & Wildlife (CPW)Colorado 4x4 Rescue and RecoveryCrested Butte SARCuster County SARDelta County SARDiamond Peak Ski PatrolDinosaur Natl. Monument, Nat ParkDolores County SARDouglas County SAREl Paso County SARFremont SARGarfield County SARGrand County SARGreat Sand Dunes Natl ParkHinsdale County SARLa Plata County SARLake County SARLarimer County SARMesa County SAR Ground TeamMesa Verde Natl ParkMineral County SARMoffat County SARMontezuma County SARMontrose County Sheriff's PosseMountain Rescue AspenOuray Mountain RescuePark County SARPueblo County SARRampart SAR, IncRio Blanco County SARRio Grande SARRocky Mountain Natl Park (RMNP)Rocky Mountain Rescue GroupRoutt County SARSaguache County SARSan Juan County SARSan Miguel SARSummit County Rescue GroupTeller County SARUpper San Juan SARVail Mountain RescueWest Elk Mountain RescueWestern Mountain Rescue TeamIf the Requesting Agency does not appear on the list, please select OTHER and type it into the SITUATION section.Person Making Request *Name (+ Agency if different from Requesting Agency) IF VERBAL REQUEST BY OTHER AGENCY PLEASE NOTE. (Example: CSAR 10 Submitting form at the verbal request of Pitkin County).Requestor Email *ONLY THIS EMAIL WILL RECIEVE A COPY OF THIS NOTIFICATIONRequestor Phone *Back-up Phone Number *This can be the local dispatch or other alternate phone number. If you wish to skip this field, it will remain all zeros. It cannot be blank or deleted.Nature of IncidentLocal Incident Name, Number and/or Reference *HOW SHOULD WE REFER TO IT? Many jurisdictions name an incident by number, area, and or type. Others use a Case or CAD number. For example: 01234 Blue Mountain Fallen Climber. If not applicable, type NONENumber of Subjects at Risk *This defaults to "1" unless changed by you Estimated Date & Time incident Originally Occured *DateTimeSubject(s) Latest Coordinates at DATE & TIME (can be estimated) *We assume the coordinates provided are using WGS 84 Datum. If not, indicate the Datum used.Basis of Coordinates *SELECT ONEUNKNOWNPLB/ELT/AFRCCTeam eyes-on VERIFIEDCall Direct W/ SubjectRP Estimated CoordinatesSatellite Messaging Device - APPLESatellite Messaging Device - GARMINSatellite Messaging Device - SPOTSatellite Messaging Device - OTHERSMS Locator - SARTopoCONFIRMED Cell Phone A911LKPLSPEstimated LocationOTHER???SITUATION: brief description of the situation & other pertinent information. *Please briefly describe the nature of the emergency. Subject(s) Age & Medical Condition. Nature of Risk(s) to the Subject and Responder. Response planned so far. Please type in here if jurisdiction and/or agency does not appear on drop-down lists.Subject(s) believed to be alive? *YesNoUnknownSubject(s) at risk of loss of Life, Eyesight or Limb? *YesNoUnknownSubject(s) wanted for Law Enforcement Reasons? *YesNoUnknownSubject(s) Known to be Suicidal? *YesNoUnknownResources RequestedCheck the resources you are currently requesting *Aviation: Heli Hoist RescueAviation: Field Team InsertionAviation: Manned Search AssistSearch DogsCell Phone ForensicsAdditional SAR Resources (Including UAV)Incident Support (Consult, Remote ICS, On-Site?)Other (Describe Below)Please describe need for item(s) checked above and/or list other resource(s) needed *Enter Details HereDetailing examples: SAR Resources: Ground searchers, AVI responders, UAV teams, support personnel, etc. /////// Other possible resources: Swift Water, Flat Water, Submersible, Other Aviation, Cave Rescue, Mine Rescue, Other.Concerns driving aviation request? *Excessive Risk to Ground RespondersInability to Access Subject(s)Missing Subject(s)Medical ConditionTechnical TerrainWeatherGround Evac req. excessive resources or timePlease check all that applyCustom Captcha * = FOR PRACTICE ONLY - THIS DOES NOT ACTIVATE THE SYSTEM!!! --- ONLY THE REQUESTOR EMAIL WILL RECEIVE A NOTIFICATION ON THE ACTUAL RAPID ACTIVATION FORM, THERE IS THE FOLLOWING TEXT: "By submitting this form, you are affirming that you are duly authorized to request resources on behalf of the jurisdiction listed above."PRACTICE SUBMISSION