FILLABLE_FFY2016_NIMSCOMPLIANCECERTIFICATION-COOP.PDF

NIMS Compliance Certification
Subrecipient Information
Subrecipient Agreement Number: 160204-02
Agency: Maricopa County Dept. of Emergency Management
Please complete this form, sign and return to AZDOHS with award packet materials.
1.a. Select your jurisdiction type:
Tribal Nation County/Parish/Township/Borough City/Urban Area Other:
If you marked other, please explain:
1.b. If all components of your jurisdiction are not accounted for, please explain:
2. Has your jurisdiction formally adopted and/or maintained adoption of the National Incident Management System as your all-hazards
incident management system for Fiscal Year (FY) 2016? Yes No
3. Has your jurisdiction reviewed and revised the following types of plans to incorporate NIMS components, principles, and policies?
Emergency Operations Plans I Yes No Mitigation Plan Yes No
Standard Operating Procedures I Yes No Training Plan Yes No
Standard Operation Guidelines I Yes No Continuity Plan Yes No
All Hazard Plan I Yes No
4. Has your jurisdiction established (and/or have in development) the following types of mutual aid agreements, compacts, and/or
assistance agreements?
Intrastate Agreements Interagency and Interstate Agreements
Throughout the State/Territory? I Yes No Throughout the jurisdiction? Yes No
That include the Private Sector? I Yes No That include the Private Sector? Yes No
That include NGOs? I Yes No That include NGOs? Yes No
That include Tribal Nations? I Yes No That include Tribal Nations? Yes No
5.a. Have NIMS concepts and principles been incorporated into appropriate training within your jurisdiction?
Yes, all appropriate training Yes, some appropriate training No
5.b. If yes, which of the following has been incorporated?
Interoperable and Compatible Communications, Technology, and Information Management Incident Command System
Resource Management, Typing, and Credentialing Multiagency Coordination System
Mutual Aid or Assistance Agreements Public Information
6. Has your jurisdiction implemented a training program to ensure that the appropriate emergency/incident response personnel, as
identified in the NIMS Training Program, receive NIMS training in accordance with their incident management responsibilities?
Yes No
7. Which, if any, of the following are priorities for your jurisdiction to incorporate into training in the coming year? Please choose up to
three options from the list below.
Interoperable and Compatible Communications, Technology, and Information Management Incident Command System
Resource Management, Typing, and Credentialing Multiagency Coordination System
Mutual Aid or Assistance Agreements Public Information
Other (please specify):
FFY 2016
All previous versions are obsolete Page 1 06.30.2016

NIMS Compliance Certification
8.a. Have NIMS concepts and principles been incorporated into appropriate exercises within your jurisdiction?
Yes, all appropriate exercises Yes, some appropriate exercises No
8.b. If yes, which of the following has been incorporated?
Interoperable and Compatible Communications, Technology, and Information Management Incident Command System
Resource Management, Typing, and Credentialing Multiagency Coordination System
Mutual Aid or Assistance Agreements Public Information
9. Which, if any, of the following are priorities for your jurisdiction to incorporate into exercises in the coming year? Please choose up to
three options from the list below.
Interoperable and Compatible Communications, Technology, and Information Management Incident Command System
Resource Management, Typing, and Credentialing Multiagency Coordination System
Mutual Aid or Assistance Agreements Public Information
Other (please specify):
10. Does your jurisdiction maintain an inventory of its response resources and assets? Yes No
11. Does your jurisdiction use an interoperable tool, such as the Incident Resource Inventory System (IRIS), to inventory response
resources and assets? I Yes No
12. Has your jurisdiction typed and inventoried your response resources and assets consistently with available national NIMS resource
typing definitions and job titles/position qualifications, available through the Resource Typing Library Tool at
http://www.fema.gov/resource-management? Yes No
13. Does your jurisdiction have a process to determine availability of response resources and assets in accordance with national NIMS
resource typing definitions and job titles/position qualifications, available through the Resource Typing Library Tool at
http://www.fema.gov/resource-management? Yes No
14. What priorities has your jurisdiction identified to enhance your implementation of NIMS in the coming year? Please check up to
three.
Incorporate NIMS concepts and principles into existing plans and/or planning efforts.
Update training to ensure all applicable NIMS concepts and principles are incorporated.
Incorporate additional NIMS concepts and principles into exercises.
Make communication and information management practices consisten with NIMS.
Increase efforts to inventory all response assets consistently with available NIMS national resource typing definitions
Increase adoption of the Incident Command System. Increase adoption of Multiagency Coordination Systems
Make public information practices consistent with NIMS.
Other (please specify):
15. Does your jurisdiction have an access and re-entry plan in order to control the flow of resources and personnel into the area of an
incident? Yes No
16. Please list any tools, training, guidance, or support that would be helpful in further enhancing your jurisdiction’s implementation of
NIMS:
Authorized Signature
Print Name and Title
Date
FFY 2016
All previous versions are obsolete Page 2 06.30.2016