TsunamiReady Application Form

Department of Commerce
National Oceanic & Atmospheric
Administration
National Weather Service

2015 Application Form
OMB Control 0648-0419
Expires 09/30/2021

Community Contact Information
County/Parish/City/Town/Site

Population

Primary Point of Contact

Secondary Point of Contact

Name

Name

Office

Office

Title

Title

Mailing
Address

Mailing
Address

City

City

State, ZIP

State, ZIP

Phone

Phone

email

email

Mitigation Guidelines
MIT 1

Designate and map tsunami hazard zones for emergency management planning.

MIT 2

Include tsunami hazard and community vulnerability information in FEMA-approved
multi-hazard mitigation plan.

MIT 3

Install signage that identifies, for example, tsunami danger area and/or hazard zone
(entering and leaving tsunami zone signs), evacuation routes, and assembly area and
provides tsunami response education (go to high ground).

Tsunami hazard zone

Entering/leaving tsunami hazard zone

Assembly areas

Response education

Verified
Verified

Verified

Evacuation routes

Verification Team/Renewal Notes

Please do not write in shaded areas.

Public reporting burden for this collection of information is estimated to average two hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing
the collection of information. Send comments regarding this burden estimate or any other suggestions for reducing this burden to
Mike Angove, National Weather Service, 1325 East West Highway, Room 13110, Silver Spring, MD, 20910.
Statement on confidentiality: Notwithstanding any other provisions of the law, no person is required to respond to, nor shall
any person be subjected to a penalty for failure to comply with a collection of information subject to the requirements of the
Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number.

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Department of Commerce
National Oceanic & Atmospheric
Administration
National Weather Service

PREP 1

OMB Control 0648-0419
Expires 09/30/2021

Produce easily understood tsunami evacuation maps as determined to be appropriate by
local authorities.
Print

PREP 2

2015 Application Form

Digital media

Verified

Other

Support ongoing tsunami public education effort. This effort should include developing and
distributing outreach materials: at least three wide-reaching diverse methods.

Verified

Brochures/flyers placed at public venues

Regular tsunami-related posts for local social
media such as Facebook, Twitter, etc.

Brochures/flyers sent to businesses and/or
residences

Billboard, roadside, highway, or educational
(kiosk) signage

Faith-based/civic group newsletters or mailings

Bulk public email

Locally supported website

Public utility/service industry bill inserts

Sponsor local radio/television ads

Historical markers/interpretive signs

Newspaper Inserts

Other

PREP 3

Support an ongoing sustained tsunami education effort specific to public schools in coastal
community pursuing TsunamiReady recognition: At least one.

Distribute brochures/flyers to schools

Provide contents for school website

Submit articles for school groups, such as PTA

Provide posts for school social media

Include private schools in distributions above

Send message via school email

Verified

Other
Verification Team/Renewal Notes

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Department of Commerce
National Oceanic & Atmospheric
Administration
National Weather Service

PREP 4

2015 Application Form
OMB Control 0648-0419
Expires 09/30/2021

Hold community-wide outreach or education activity annually: at least one.

Verified

Leverage national, state or regional campaigns through social media
Local public safety campaign, such as "Tsunami Preparedness Week" or combine with "The Great Shakeout"

Door-to-door safety campaign
Booth at community events and/or county fairs

Multi-hazard events or presentations
Safety presentation or workshop to community or business groups that includes tsunami content

Business owner/employee training for high-occupancy businesses in tsunami hazard zones
Other

PREP 5

Conduct community exercises that reinforce the concepts contained in Prep-1 through
Prep-4.

Exercise Location(s)

Verified

Date(s) of exercise
Tsunami only

Multi-hazard

Other hazards addressed
Tabletop exercise

Functional exercise

Full-scale exercise

Conduct evacuation drills for all public schools in the mapped tsunami evacuation zone
Verified
to reinforce the concepts contained in Prep-1 through Prep-4.
Exercise Location(s)
Date(s) of exercise
Multi-hazard
Tsunami only
PREP 6

Other hazards addressed
Verification Team/Renewal Notes
.

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Department of Commerce
National Oceanic & Atmospheric
Administration
National Weather Service

2015 Application Form
OMB Control 0648-0419
Expires 09/30/2021

Response Guidelines
RESP 1

Address tsunami hazards in the community’s emergency operations plan (EOP) or
other plan.

Verified

Included in EOP
Included in other plan

Identifies tsunami as a hazard and provides risk assessment
Details 24-hour warning point procedures
Specifies EOC activation criteria and staffing expectations
Specifies activation procedures for public warning systems
Includes contact information for all jurisdictional agencies, response partners, and NWS
Includes tsunami evacuation plans and maps
Includes procedures for updating of public warning, as well as safe return protocols
Includes procedures for providing security for evacuated areas
Includes tsunami impact reporting procedures

RESP 2

Address tsunami hazards in the emergency operations plans (EOP) for all
public schools in the tsunami hazard zone.

Verified

RESP 3

Commit to supporting the EOC during tsunami incidents if an EOC is opened and
activated.

Verified

Open 24/7 or has plan to activate an EOC for tsunami incidents in accordance with EOP
Has warning reception and dissemination capability
Has ability and authority to activate the public warning system within its area of responsibility
Maintains the ability to communicate within and across jurisdictions

Maintains established communication links with NWS
Verification Team/Renewal Notes

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Department of Commerce
National Oceanic & Atmospheric
Administration
National Weather Service

RESP 4

2015 Application Form
OMB Control 0648-0419
Expires 09/30/2021

Have redundant and reliable means for a 24-hour warning point (and EOC if activated) to
receive official tsunami watch, advisory, and warning alerts: at least three.

Verified

NOAA Weather Radio

Third-party alert provider

Statewide warning fan-out nofification

Local radio Emergency Alert System, LP1/LP2

NOAAPORT receiving station

Active Internet monitoring capability

NAWAS drop

NOAA Weather Wire drop

NWSChat

USCG broadcasts/monitor marine channels

EMWIN receiver

Direct email from NWS Tsunami Warning Center (TWC)

Statewide telecommunications systems

Direct fax from NWS TWC

CISN display program

Text message or direct pager from TWC

Amateur radio transceiver
Other

RESP 5

Have redundant and reliable means for 24-hour warning point and/or EOC to disseminate
official tsunami watch, advisory, and warning alerts to the public: at least three.

EAS message initiation and broadcast

Amateur radio operator network (ham radio)

Cable TV audio/video overrides

Telephone mass notification system

Local flood warning system

Telephone tree to critical facilities

Plan for sirens on emergency vehicles

Coordinated area-wide radio network

Outdoor warning siren(s)

Countywide communications network

Local alert broadcast system

Social media (Twitter, Facebook)

Local pager/texting system (dissemination)

Lifeguards on beaches and on patrol

Verified

Other
Verification Team/Renewal Notes

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Department of Commerce
National Oceanic & Atmospheric
Administration
National Weather Service

RESP 6

2015 Application Form
OMB Control 0648-0419
Expires 09/30/2021

Have Public Alert-certified NOAA Weather Radio (NWR) receivers in critical facilities and
public venues.
Office

Location or Address

NWR

Verified

Comments

Communication dispatch
center
EOC
City Hall, county
courthouse or similar
School superintendent

RESP 7

Conduct emergency operations plan exercises that test at least one component of the
community’s EOP or one item from RESP 4 through RESP 6.

Exercise Location

Date of exercise

Tsunami only

Verified

Multi-hazard

Other hazards addressed
Tabletop exercise

Functional exercise

Full-scale exercise

Verification Team/Renewal Notes

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Department of Commerce
National Oceanic & Atmospheric
Administration
National Weather Service

2015 Application Form
OMB Control 0648-0419
Expires 09/30/2021

Signature of Applying Official
Office Name
Application Submitted by
(name of applicant)

Title

Signature

Date

NWS Personnel Receiving
Application (print name)

Date
Received

Site Verification Team Signatures
Print Name
Office

Title

Signature

Date

Print Name
Office

Title

Signature

Date

Print Name
Office

Title

Signature

Date

Print Name
Office

Title

Signature

Date

Signature in Renewal Year
Office
Application Submitted by
(name of applicant)

Title

Signature

Date

NWS Personnel Receiving
Application (print name)

Date
Received

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