Order emergency support service paper forms

Emergency support services (ESS) supplies can be ordered in hard copy from Emergency Management BC.

To order any of these forms:

  1. complete the supply order form (PDF)
  2. return the form to your Emergency Management BC Regional Office. 

The links below are sample PDFs, with the exception of the billeting invoice which can be downloaded for use.

Name

Purpose

Number

Referral Form

Referrals Unit Workers or Level One ESS responders use this form to refer evacuees to suppliers of food, clothing, lodging etc. The form instructs suppliers to invoice the provincial government.

EMBC2395 Sample
Billeting Invoice Form

Referrals Unit Workers or Level One ESS responders provide this form to an evacuee who can stay with a host family. This form is completed by the host family and only valid when submitted with an attached, completed white copy of the referral form (EMB2395).

 Billeting Invoice

Referral Form Record

Documentation Unit Workers use this form to record when they issue a Referral Form to a Referrals Unit Worker or a Level One ESS responder.

EMBC2395A Sample

Emergency Support Services Rates Sheet

ESS volunteers provide this sheet to evacuees along with the Referral Form. It gives the maximum amounts of money evacuees can receive to provide for their basic needs.

EMBC2395R Sample

Supplier Consent

Resource Acquisition Workers use this form when they reach an agreement with a private provider of emergency services. It includes a rate sheet that describes the good and services that can be reimbursed and their maximum rates. The form is not a legal agreement.

EMBC2396 Sample

ESS File

(Registration and Services Record)

Registration Unit Workers in reception centres use this form to register the identity, location and needs of people affected by an emergency. The form is only mandatory if an evacuee wants to be referred to the services of a private provider.

EMBC2576 Sample

ESS Follow-up Card

Documentation Unit Workers use this card to indicate that an ESS File (above) needs to be followed-up.

EMBC2576A Sample

ESS Out Card

Documentation Unit Workers in reception centres use this when a completed ESS File (above) is taken from the master file.

EMBC2576B Sample

Change of Information Form

Registration Unit Workers in reception centres use this form to update information of people who have already registered.

EMBC2622 Sample