NYC-WTC_000233682

NYC 9/11 Public Portal Document

RESPONSE GUIDELINES

2.7 Written Threat Report Form

INSTRUCTIONS The purpose of this form is to summarize significant information from a written threat received by a drinking water utility. This form should be completed by the WUERM or an individual designated by incident command to evaluate the written threat. The summary information provided in this form is intended to support the threat evaluation process; however, the completed form is not a substitute for the complete written threat, which may contain additional, significant details.

The written threat itself (e.g., the note, letter, e-mail message, etc.) may be considered evidence and thus should be minimally handled (or not handled at all) and placed into a clean plastic bag to preserve any forensic evidence.

Remember, tampering with a drinking water system is a crime under the SDWA Amendments!

SAFETY A suspicious tetter or package could pose a threat in and of itself, so caution should be exercised if such packages are received. The US Postal Service has issued guidance when dealing with suspicious packages (httpTAwvw. usps. com/news/2001/press/pr01 1 G22gsa. him).

THREAT NOTIFICATION Name of person receiving the written threat:

Person(s) to whom threat was addressed:

Date threat received: Time threat received:

How was the written threat received? □ US Postal service □ Delivery service □ Courier □ Fax □ E-mail □ Hand delivered □ Other

If mailed, is the return address listed? □ Yes □ No

If mailed, what is the date and location of the postmark?

If delivered, what was the service used (list any tracking numbers)?

If Faxed, what is the number of the sending fax?

If E-mailed, what is the e-mail address of sender?

If hand-delivered, who delivered the message?

22 Interim Final - August 2004

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