KY Region 2 Public Service Activty Report

KY Region 2 Public Service Activty Report
Please submit your Public Service Activity Report as soon as possible after your club/organization/ARES Group performs their good work for the community.

If you are an ARES coordinator, don't forget to include the data on your monthly report.

If you are not in Region 2, please return to the Reports page to find the correct report for your location.

By submitting this form, you attest that all information is complete and accurate.

Name:		Email:
Callsign:		Phone:
ARRL Appointments:

Please give a brief description of the activity:

Places or areas involved:

County:

Event Start Time/Date:

Event End Time/Date:

Event Duration in Hours: Total Person Hours:

Number of Repeaters Used:

Nets and/or Frequencies Used:

Estimated manpower cost:	$ Person Hours x $19 per hour.
Estimated cost of equipment used:	$ Radios, Repeaters, other equipment.
Total estimated cost of service:	$ Total of above two fields.

Number of messages passed:

Agencies/Organizations Receiving Support:

List Callsigns of Amateurs Who Were Key Participants:

Name of Organization(s) Performing Service: (List city too)

Comments: