Rockaway Township, MT · Morris County
CERT Hold Harmless Request
Rockaway Township CERT participants complete this request to seek permission to join the program and acknowledge its risks and participation requirements.
What this form is
This request asks for permission to participate in Rockaway Township’s Community Emergency Response Team (CERT) program. It describes potential injury or property damage risks and asks the participant to acknowledge the program outline, agree to follow instructor rules, and release specified organizations from claims related to participation. The form also collects an emergency contact and instructor signature.
Who needs it
Anyone requesting permission to participate in Rockaway Township’s CERT program should complete the request and provide an emergency contact.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the participant and instructor sign and date it, and no notarized or sworn attachment is mentioned.
How to submit this form
- 1
Download The Request
Download the CERT Hold Harmless Request PDF.
- 2
Complete The Request
Request permission to participate and review the statements about program risks and requirements.
- 3
Add Emergency Contact Details
Enter an emergency contact name and number, and add comments if needed.
- 4
Sign And Date
Sign and date the request; the form also includes spaces for the instructor’s signature and date.
- 5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who completes the CERT Hold Harmless Request?
- Anyone requesting permission to participate in Rockaway Township’s Community Emergency Response Team program completes the request.
- What information does the request ask for?
- It includes the participant’s signature and date, emergency contact name and number, comments, and an instructor signature and date.
- Do I need a notary for the CERT Hold Harmless Request?
- No. The document is signed and dated by the participant and instructor without a notary, and it does not mention a notarized or sworn attachment.
- How do I submit the CERT Hold Harmless Request?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This CERT Hold Harmless Request doesn’t need a notary — but if you have another Rockaway Township form that does, a commissioned online notary can help.