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SEE INSTRUCTIONS ON REVERSE SIDE BEFORE COMPLETING AC 1171 (Rev. 10/96)STATE OF NEW YORK1 Originating AgencyOrig. Agency Codes Division of Homeland Security and Emergency Services Payment Date(MM)
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The NYS Division of Homeland Security and Emergency Services is responsible for coordinating the state's efforts to prepare for, respond to, and recover from natural and man-made disasters.
Certain organizations and entities in New York State, such as emergency service providers, are required to file reports with the NYS Division of Homeland Security and Emergency Services.
To fill out the NYS Division of Homeland Security report, organizations must provide information on their emergency preparedness efforts, response capabilities, and any incidents they have been involved in.
The purpose of the NYS Division of Homeland Security is to ensure that New York State is prepared for emergencies and disasters and can respond effectively to protect the lives and property of its residents.
Information such as emergency response plans, training programs, incident reports, and resource capabilities must be reported on the NYS Division of Homeland Security form.
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