(1) EC or DEC for (County / District): 

(2) Month:  Make Selection January February March April May June July August September October November December     

(3) Year: Make Selection 2011 2012 2013 2014  

(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/or Training Sessions this month:  

(10) Man Hours:

(11) Number of Public Service Events This Month:   

(12) Man Hours:

(13) Number of Emergency Operations this month:   

(14) Man Hours:

(15) Total of ARES/RACES Events this month:  

(16) Man Hours:

(17) Comments:

(18) Signature:  

(by typing your name in this block, you are electronically signing this reporting form)

(19) Call Sign:

                                                            (Required to complete the form)

(20) E-mail address: 

   Want to upload a file to go with the form?

   EC'S - Select the appropriate DEC (1 - 10) to email your form to.

   DEC's - select 11 to email to the SEC

   make selection 1. DEC - Brent, WD8PNZ 2. DEC - Terry, W8UY 3. DEC - Al, KB8RPO 4. DEC - Steve, N8TFD 5. DEC - Matt, W8DEC 6. DEC - Jay, KC8GNL 7. DEC - Scott, KC8ITN 8. DEC - Jeff, N8SUZ 9. DEC - Sonny, W8FHF 10. DEC - Mike, KD8JUF 11. SEC - Matt, W8DEC Webmaster