2015-06-23 I&S Agenda - Item 5 - Memorandum of Understanding - Attachment 3

\ Sunshine Coast.
                                                          COUNCIL
APPENDIX A —- STAFF DEPLOYMENT PROCEDURE

DISASTER OPERATIONS DEPLOYMENT (VERSION 1.3)

Personal Information Form and Procedures
This personal information form is to be completed by all Council employees
deployed outside of the Sunshine Coast Council regional area. Once completed
please scan and email to: [email protected]
Deployment Location:

DEPLOYEE DETAILS
Surname: (As per Council employment records)

Employee Payroll No: | Date of birth:   Gender:     [|     Male|_ |     Female

Residential Address:

MEDICAL DATA
| have no known medical condition that may affect my duties [ |       Tick to
confirm
Known medical condition details:
Current medications:
Known allergies:
Special dietary requirements:

NEXT OF KIN

Relationship:                       Residential address:

                              MEMORANDUM OF UNDERSTANDING
                             SUNSHINE COAST COUNCIL AND NOOSA
                                        COUNCIL
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