North Carolina Chapter
of the
National Emergency Number Association

"One Nation - One Number"

North Carolina Chapter of the National Emergency Number Association

PSAP Registry
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PSAP Registration

This registration form is submitted by e-mail to the NC TERT Coordinator in order to maintain the NC TERT Database. The database contains information on North Carolina PSAPs to be used to match PSAPs requesting assistance and will be available to all PSAPs in the state. The information that is gathered during this survey will be treated as proprietary and will not be sold or shared with vendors and others without a need to know. Your NC NENA Region Representative will be contacting you personally in reference to completing this survey.

Your agency does not have to be affiliated with NENA or APCO in order to register with the NC TERT Database. Thank you for registering. .

 

Type of Entry? 
Your name?  
Your E-mail address?  


PSAP Name  
County Name  
Primary or Secondary PSAP?  
PSAP Mailing Address  
      City  Zip 
PSAP Street Address (No PO Box) 
      City   Zip 
      PSAP Telephone (Business Hours) 
      PSAP 24-hour Telephone Number 
      PSAP 24-hour Fax Number 
      Web Address 

PSAP Director/Manager Name 
      PSAP Manager's Phone 
      PSAP Manager's E-mail 

Name of Official (City/County Manager, Sheriff/Police Chief, Etc) Ultimately in Control of PSAP 
Mailing Address 
      City   Zip 
      Telephone 
      Fax 
      E-mail 

Name of City Council/County Commisioner Chairperson in Ultimate Control of PSAP 
      Mailing Address 
      City   Zip 
      Telehone 
      Fax 
      E-mail 

Full-Time Telecommunicators (Agency Total) 
Part-Time Telecommunicators (Agency Total) 
Employees per Shift 
Dispatch Positions (Telephone & Radio) 
Call Taker Positions (Telephone Only) 
Call Takers Per Shift (Phones only) 
Telecommunicators Per Shift (Phones and Radio) 
Hours of Operation? 
911 Service Provided   
Wireline 911 Surcharge Rate 
Agencies Dispatched (Hold down Ctrl and select all that apply) 
Type of CAD System 
Utilizing Mobile Data Terminals / Mobile CAD Terminals?
Unit Tracking/AVL 
GIS Mapping Used 
Type of Phone System   
Type of Radio System    
Brand of EMD System    
EMD Style 
DCI Module Certification  
Could Your Agency Provide Experienced Telecommunicators In the Event of an Emergency 
If Yes, How Many Could You Deploy Under Ideal Conditions (No vacancies, none out sick, etc)?

Are you familiar with NENA 
Are you familiar with your NC NENA Region Representative?
Number of NENA Members Within Agency 
Does Your Agency Regularly Attend NC NENA Meetings, State or National Conferences 
Would you like to Be added to the NC NENA List Server 

Are you familiar with APCO 
Are you familiar with your NC APCO Region Representative?
Number of APCO Members Within Agency 
Does Your Agency Regularly Attend NC APCO Meetings, State or National Conferences 
Do You Want to Be Added to NC APCO List Server 

 

 

 

Last modified:  October 20, 2006

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