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L-1 A p p e n d i x L Assistance Request Form [Name of Airport-to-Airport Mutual Aid Program] Request for Assistance Date: ___________________ Local time: _____________ Zulu time: ________________ Requesting airport name: ________________________________________ Three-letter airport identifier: ______________ Name and title of airport representative requesting assistance: Best available way to contact you? Cell number: ______________________________________ Satellite phone number: ___________________________________ Emergency operations center (EOC) primary number: ___________________________________ EOC secondary number: ___________________________________ Office number: ___________________________________ Alternate airport representative name: _____________________________ Cell number: ______________________________________ EOC primary number: ___________________________________ EOC secondary number: ___________________________________ Office number: ___________________________________ Brief description of emergency (e.g., facility damage, injuries, and effect on commercial air service): ______________________________________________________________________ ______________________________________________________________________ _____________________________________________________________________ ______________________________________________________________________ Adapted from WESTDOG. (2007, November). WESTDOG Mutual Aid Plan: âAirports Helping Airports.â
