Lending Cooperative Mutual-Aid Form – Oklahoma Assn of Electric Cooperatives

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This field is for validation purposes and should be left unchanged.

Cooperative Lending Mutual-Aid Assistance*

If your cooperative is lending mutual-aid to a distressed cooperative. Please complete the form below.

Cooperative Receiving Assistance*

Contact's Name at the Lending Cooperative*

First Last

Primary Contact's Phone Number*

Primary Contact's Email*

Cooperative Lending Mutual-Aid Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Radio Channel Used

Uniform Arc Rating

Gloving Voltages Crews Equipped for

Please upload the signed NRECA Mutual-Aid Agreement

Max. file size: 220 MB.

Are FEMA equipment rates used?

Please upload rates charged for man hours

If rates for man hours are not included in the Mutual-Aid Agreement, please upload.

Max. file size: 220 MB.

Please upload rates for equipment

If rates for equipment are different from FEMA rates or they are not included in the Mutual-Aid Agreement, please upload.

Max. file size: 220 MB.

Date crews are available*

Date of departure*

Estimated Time of Departure*

:

Estimated Time of Arrival*

:

Number of days crews are available*

Are rotation crews available?*

Crew 1

Type of Crew*

Ranking person on the crew*

First Last

Is the Ranking person the emergency contact for this crew?

Phone number for the ranking person on the crew*

Additional Crew Members*

Please use the plus sign to add additional people.

Crew Member's Name	Job Classification	Cell Phone Number

Trucks

Please use the plus sign to add additional trucks.

Truck Description	Truck Identification No.

Trailers

Please use the plus sign to add additional equipment.

Trailer Description	Trailer Length	Axles	Trailer Identification No.

Special equipment en route with crew?

Specialty Equipment

Please use the plus sign to add additional equipment.

Equipment Description	Equipment Specs (Size, HP, Capacity, Size, etc.)	Equipment Identification No.

Crew 2

Only complete Crews 2-4 if you are sending multiple crews.

Type of Crew

Ranking person on the crew

First Last

Is the Ranking person the emergency contact for this crew?*

Phone number for the ranking person on the crew

Additional Crew Members

Please use the plus sign to add additional people.

Crew Member's Name	Job Classification	Cell Hone Number	Vehicle Type	Vehicle Number(s)	Emergency Contact	Emergency Phone Number

Trucks

Please use the plus sign to add additional trucks.

Truck Description	Truck Identification No.

Trailers

Please use the plus sign to add additional equipment.

Trailer Description	Trailer Length	Axles	Trailer Identification No.

Special equipment en route with crew?

Specialty Equipment

Please use the plus sign to add additional equipment.

Equipment Description	Equipment Specs (Size, HP, Capacity, Size, etc.)	Equipment Identification No.

Crew 3

Type of Crew

Ranking person on the crew

First Last

Is the Ranking person the emergency contact for this crew?

Phone number for the ranking person on the crew

Additional Crew Members

Please use the plus sign to add additional people.

Crew Member's Name	Job Classification	Cell Hone Number	Vehicle Type	Vehicle Number(s)	Emergency Contact	Emergency Phone Number

Trucks

Please use the plus sign to add additional trucks.

Truck Description	Truck Identification No.

Trailers

Please use the plus sign to add additional equipment.

Trailer Description	Trailer Length	Axles	Trailer Identification No.

Special equipment en route with crew?

Specialty Equipment

Please use the plus sign to add additional equipment.

Equipment Description	Equipment Specs (Size, HP, Capacity, Size, etc.)	Equipment Identification No.

Crew 4

Type of Crew

Ranking person on the crew

First Last

Phone number for the ranking person on the crew

Additional Crew Members

Please use the plus sign to add additional people.

Crew Member's Name	Job Classification	Cell Hone Number	Vehicle Type	Vehicle Number(s)	Emergency Contact	Emergency Phone Number

Trucks

Please use the plus sign to add additional trucks.

Truck Description	Truck Identification No.

Trailers

Please use the plus sign to add additional equipment.

Trailer Description	Trailer Length	Axles	Trailer Identification No.

Special equipment en route with crew?

Specialty Equipment

Please use the plus sign to add additional equipment.

Equipment Description	Equipment Specs (Size, HP, Capacity, Size, etc.)	Equipment Identification No.

Additional Notes or Information