DEPARTMENT OF PUBLIC SAFETY HELP DESK FORM

2. Regroup Email and Text Paging List Updates

   Please use this form to provide updates to your personnel who are listed in the Regroup Mass Alerting Platform (Everbridge replacement).

4. Name:

   Please provide your name.

5. Title:

   Please identify your agency role.

7. Agency:

   Please list your agency.

9. Phone Number:

   Please provide the best number to reach you.

10. Email Address:

    Please provide your agency email address.

12. Personnel List:

    Please provide each person you need added for text paging, as well as their full phone number (example - Peter Griffin 717-111-2222 pgriffin@internet.com, Lois Griffin 717-222-3333 lgriffin@internet.com, Stewie Griffin 717-333-4444 sgriffin@internet.com, etc.).  Put each name/phone number/email on a separate line.

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14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

* indicates a required field