Submit a program request with the Fire Department – Office of Emergency Management Major disasters can affect families, communities and businesses. It takes all aspects of the community to effectively prepare for, respond to, and recover from disasters. Communities must work together to develop capabilities to respond quickly, and recover in a way that increases our community’s resilience.To help you be Ready Riverside, the Riverside Fire Department - Office of Emergency Management has information and resources available. Our Staff is available to conduct Community Emergency Preparedness & Response Programs to requesting Neighborhood, Organizations, or Community groups within the City of Riverside. If you are interested in scheduling a presentation, please complete this request form. *Request must be at least 30 days in advance. *Must be in the City of Riverside. *Must be open/free to those attending. Requesting Organization/ Community Group Name * Contact Person * Contact Person Address Contact Person Phone Number * Contact Person Alternate Phone Number Contact Person E-mail * Type of Presentation/ Program requesting * Business Resiliency Disaster/Emergency Preparedness Terrorism Earthquake Safety Other If other, please provide specific details Address where activity will be held Date of Presentation - Preferred Date 1 * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20222023202420252026 Year Preferred Activity Date/Time 1 * Hour123456789101112 Hour :Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Minute am pm Date of Presentation - Preferred Date 2 * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20222023202420252026 Year Preferred Activity Date/Time 2 * Hour123456789101112 Hour :Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Minute am pm Target Audience * Business Community Group School Faith Based Group Neighborhood Service Club Youth Group Other If other, please provide specific details Number of People Expected * *We will do our best to accommodate requests based on staff availability and date of request. Presentations may be subject to change if necessary For further information please contact: Philip Stachelski, Community Preparedness Coordinator at [email protected] or (951) 320-8104. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
