Electronic FSD-212
For EC and DEC Monthly Reporting
Make Sure You Make The Appropriate Choice To Send Your Message To
EC's, Send To DEC -------- DEC's Send To SEC

ARRL Great Lakes Division

(1) EC or DEC for: (2) Month: (3) Year:
(4) Total Number of ARES Members: (5) Change Since Last Month:
(6) Local Net Name: (7) Frequency:
(8) NTS Liaison Maintained With What Net:
(9) Number of Nets, Drills, Tests and Training Sessions This Month:Man Hours:
(10) Number of Public Service Events This Month: Man Hours:
(11) Number of Emergency Operations This Month: Man Hours:

Please Note: Item 12 below, is totals of the three items above.
(12) Total Number of ARES/RACES Events This Month: Total Man Hours:

(13) Please Enter Any Comments Below:
(Please hit your enter key at end of each line)

(14) Signed By: Call Sign:
(15) Your E-Mail Address:


Your Report Will Be Automatically Sent To Either Your DEC or SEC
When You Choose The Appropriate Addressee In The Box Below

PLEASE REPORT AS INDICATED BELOW, UNLESS YOU HAVE BEEN
TOLD OTHERWISE BY YOUR SECTION EMERGENCY COORDINATOR

EC's, Pick The Appropriate DEC To Receive Your Report.
DEC's Pick The Appropriate SEC To Receive Your Report.

When finished filling out the form, please click ONLY ONCE on the SUBMIT button below.


(Original CGI Form Design by Past Director George Race, WB8BGY 1998)