QUESTIONNAIRE FOR EVAC STICKER FOR YOUR ORGANIZATION
Location of your Organization
You are located WITHIN one of the counties listed below in Pennsylvania
You are located OUTSIDE the counties listed below and/or outside the state of Pennsylvania
ALLIED SERVICES COUNTIES SERVED:
Berks
Lackawanna
Northhampton
Susquehanna
Bradford
Lehigh
Northumberland
Tioga
Carbon
Luzerne
Pike
Union
Centre
Lycoming
Schuylkill
Wayne
Clinton
Monroe
Snyder
Wyoming
Columbia
Montour
Sullivan
Indicates Response Required