District 13 Emergency Coordinator
Monthly Report Form

(1) Jurisdiction: Alleghany Bath Botetourt Craig Floyd Franklin Giles Henry Montgomery Patrick Pulaski Roanoke City/County Salem City Wythe 

(2) Month of Report: January February March April May June July August September October November December 

(3) Year of Report: 2002 2003 

(4) Total Number of ARES Members in County/City:

(5) Change in Number of ARES Members in City/County (Additions, Deletions):

(6) Name of Nets:

(7) Frequency:

(8) State Net Liaison: No Yes 

Name of Liaison Net:None Virginia Traffic Net Virginia Sideband Net Virginia Net Virginia Net Late Virginia Late Net Other 

If Other, Please List Name:

(9) Total Nets Participated in:

(10) Comments: County/City activations, Comm Activities, Public Service Events,
Recruiting Efforts, SETs, etc.

(11) Signed By: CallSign:
Position of EC Reporting: 

Your Report Will Be Automatically Sent To Your DEC