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Submit your questions, suggestions, compliments,concerns, or track your existing request online.
CERT Member Update

This form is provided for all people who have taken the CERT class to update their personal information so you can be contacted quickly and efficiently in time of emergency, and to be able to advise you when refresher CERT courses are offered.
Most of the fields below are self explanatory, but here are some guidelines. If you are a member of a neighborhood CERT, enter the name of the CERT in "Group" - example "Old Mountain View". If you signed up to be a registered Disaster Service Worker at the end of your CERT class, select the YES button after DSW. If you have a Ham Radio license, enter your Ham call sign, otherwise leave it blank.
Your information is considered private, and is used only by the Mountain View Office Of Emergency Services for authorized activities. Thank you




 First Name      
 Last Name  
 Address  
 CERT Group  
 City  
 State  
 Zip  
 Email Address  
 Primary Phone  
 Secondary Phone  
SMS (Text) Phone
 Are you currently signed up as a Disaster Service Worker?
  Yes     No
Do you have a HAM call sign?
 Yes           No
If yes HAM call sign
If you are a HAM, are you a member of ARES? 
 Yes        No