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CERT Services Request Form

  1. CERT Services Request Form

    Fill out all fields if possible to request CERT Services.

  2. Services Required:*
  3. Will you be giving a Donation to the CERT Team for the use of their services? A 501c3 Nonprofit number is available for tax purposes. *
  4. Thank you for considering the Des Moines County Community Emergency Response Team to help with your event!
  5. Leave This Blank:

  6. This field is not part of the form submission.