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DIVISION OF EMERGENCY MANAGEMENT <br /> COUNTY <br /> FY 2012-2013 <br /> FOR EMPG FUNDED EMPLOYEES ONLY <br /> FORM 3 <br /> EMPG Staffing Detail EMPG Training <br /> Has the emplyee receieved certificate/completed the <br /> followin : ( es or no ) <br /> Approx # of hrs/Week Annual Total Salaries & % EMPG Base <br /> Name & Position Title Devoted to EM Benefits by position Grant ( Federal) NIMS NIMS NIMS NIMS FEMA <br /> Professional <br /> Activities IS 100 IS 200 IS 700 IS 800 Development Series <br /> [1 ] [2] [3] [4] <br /> DIRECTIONS STAFFING DETAIL: <br /> 1 . In column 1 list titles and name of ALL EMPG funded staff <br /> 2 . Complete column 2 for each position . <br /> 3 . In column 3 list total anticipated annual amount of Salaries and Benefits to be paid for each position . <br /> 4 . In columns 4, provide the funding distribution (%) for the amount in column 3 . <br /> EMPG Exercise(s) Per Quarter <br /> Name & Position Title Date Description of Exercise <br /> [1 ] [2] [3] <br /> DIRECTIONS : <br /> 1 . In column 1 , list name and titles of Emergency Management staff that is funded with EMPG <br /> 2 . In column 2 , date of Exercise(s) employee participated in <br /> 3 . In column 3 , a brief description of the exercise(s) EMPG employee participated in <br />