Reporting Emergency Preparedness Contribution

Tell us how you are getting prepared
Remember, you own the data that you record on the East Coast Exchange and any data that will be publically displayed will have a 'Public' label below the field.
Tell us what action you've taken to get prepared
Public
Upload photos or videos of your equipment, supplies or action taken

Cancelof
What date did you take this action?

MonthDayYear
Public
Location where you took this action e.g. home or work address

What would you like to do with your points?
I would like to

Earn 10 Action Points that could be eligible for Programme funding.Donate 10 Action Points to the community effort
Contribution Points

Let's grab some details
This action was taken by:

IndividualOrganisation / Group
Organisation
Public
Contact person*

Public
Email*
Phone number*
Are you doing this form for someone else?

YesNo
Record your name

First NameLast Name
Record your phone number
Yes, I have their consent to record this information`

YesNo - please get their consent before continuing
I have read and agreed to the Exchange Rules.I understand that this is not an offer of employment. I am volunteering my time and I do not expect to receive a reward in return.I understand there is no guarantee that I will receive any Programme funds at any time or that my donated points will be funded.
View the East Coast Exchange rules here.
Should be Empty:

Tell us how you are getting prepared