Southwest Task Force, Region 13 Training Request Forms Region 13 Training Request Form TravelVoucherDetail_Excel Vendor Creation Form and W9 Region 13 Training Request FormRequesting Agency:Point of Contact:Email PhoneTraining:Start Date: Date Format: MM slash DD slash YYYY End Date: Date Format: MM slash DD slash YYYY Location:Number of Attendees:Discipline:Select OneLaw EnforcementEmergency Medical ServicesEmergency Management AgencyFire ServiceHazardous MaterialsPublic WorksGovernmental AdministrationPublic Safety CommunicationsHealthcarePublic HealthOtherOther:Level of Training:Select OneAwarenessDefensive/OperationsOffensive/TechnicianOSHA SpecialistPlanning/ManagementN/AType of Course:Select OneFederalStateNon-DHS ApprovedFederal-Sponsored/State-Sponsored Course Number:Federal/State Sponsor:Course Description:Course Delivery:Select OneFirstSecondThirdIn ReviewNon-RecurringServices Requested:Select OneFood & BeverageInstructor FeesTravel ExpensesRegistration FeesRoom RentalTraining SuppliesCost Breakdown by Services Requested:Total Cost:In the box below, please provide a justification on how this training will enhance current regional capabilities/close existing capability gaps and how the training is related to terrorism/all-hazards response.Is this request is for a training that is solely classroom based or an exercise that is a tabletop or functional exercise?YesNoIf yes, no further action is required. If no, please complete an EHP Screening Form and submit it with the request. Please provide a course agenda and any other additional documentation that you may have as an attachment to this form. Requestor Signature:EMA Coordinator Signature:Date Date Format: MM slash DD slash YYYY This iframe contains the logic required to handle Ajax powered Gravity Forms. Name*Email* File* This iframe contains the logic required to handle Ajax powered Gravity Forms.