Forms Revision Chart for FEMA Form 089-0-14

Forms Revision Chart for FEMA Form 089-0-14, Self Evaluations

V. FORMS REVISION CHART (ONLY COMPLETE if a Revision to a Form is being Requested):

Location of Text (e.g., Page 2, Line 3)

p.1 of 5

p.1 of 5

Current Text (e.g., Action Office: RMD)

1. Complement of Rostered TF Members

2. Complement of Trained TF Members

3. Complement of Deployable Members

4. Complement of TF Member Participants in annual training and exercises

5. Complement of Deployable Disaster Search Canine T

Revised Text (e.g., Action Office: Records Management Division (RMD))

1. Number of Rostered TF Members

2. Number of Trained TF Members

3. Number t of Deployable Members

4. Number of TF Member Participants in annual training and exercises

5. Number of Deployable Disaster Search Canine Teams

p.1 of 5 1. Complement of cache equipment items 1. Number of cache equipment items

p.1 of 5 1. Complement of Administrative staffing/resources 1. Number of Administrative staffing/resources

p. 2 of 5 “Complement” (same as above) “Number” (same as above)

_{p. 2 of 5} Add 3rd column under “Members” to the right of items

4a), 4b), 4c), and 5).

p. 2 of 5 “Complement” (same as above) “Number” (same as above)

p. 2 of 5 “Complement” (same as above) “Number” (same as above)

p. 5 of 5 Add the section on attached page:

Note: If additional space is needed, please print and attach as a separate sheet.

FEMA FORM 112-2-1 (02/14)

Page 3