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Community Leave Early Information Form

If you are leaving early in an emergency bushfire or if you would like to register your whereabouts on any given day or time please fill out this form.
Community Leave Early form.pdf  or fill out online below.

 

Fields marked with an asterisk (*) must be completed
This form is intended to be for advice of emergency agencies only. It is not intended to replace the Personal Identification Form (PIF). Person's attending a relief centre may still be required to complete a PIF form to ensure they will be listed on the Red Cross "Register, Find, Reunite" database
To assist us with our records please register your return home by notifiying EGSC Emergency Management Team at memr@egipps.vic.gov.au or by phoning 5153 9500
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