emergency.copernicus.eu（11页）.doc

To be sent to the ERCC (24/365 availability) Email: echo-ercc@ec.europa.eu Tel: +32-2-29-21112 The service request must be communicated by email AND followed by a phone call to the ERCC Please provide the information requested in the areas marked in blue. At least the information in sections “Activation Details” (to be provided once per activation) and “Details for Area of Interest” (to be provided for each Area of Interest) is required to efficiently process your request. The earlier a request form is submitted, the sooner satellites can be tasked for image acquisition. For acronyms see page 4. For more information on the service and a printable/editable version of this form, please refer to http://emergency.copernicus.eu. In case you need help, the ERCC will support you. Activation details (provide this sheet once per activation) Activating institution National Focal Point EC Services EEAS Organisation Name: ????? Contact Person: ????? Phone ????? (Office) Mobile: ????? E-mail: ????? Fax: ????? Activation date: ?? / ?? / ???? (dd/mm/yyyy) Activated on behalf of (optional): ????? Details on the disaster Disaster type Time and location Fire (forest or wild fire) Date (dd/mm/yyyy): ??/??/???? Flood Time (UTC): ??: ?? Earthquake Country: ????? Industrial accident Region or District: ????? Wind storm GLIDE number (if available): See ????? Other (Please specify): ????? Additional information (e.g. extent, damage, affected population, end users, links to media or situation reports): ????? Triggering other services (International Charter, national services, UNOSAT, Sentinel Asia, etc.) The user triggered other services If yes, please specify: ????? The user plans to trigger other services If yes, please specify: ?????  Details for Area of Interest (specify the name of the village, location, region or similar) ????? (Please fill the following two pages also for each additional Area of Interest, use pages 5-8) Map types and p