Form

RC Care / RC Respond User Request Form (National Capital and Greater Chesapeake ONLY)

This form is for National Capital and Greater Chesapeake user only. By filling out this form you attest that you've completed the required training for the role in RC Care that you are requesting. To confirm, the training matrix can be found on the DCS: Disaster Cycle Services groupshare under files.

Is this a NEW or CHANGE request?

Notes and/or Change Being Requested

First Name

Last Name

RC Care User Role Being Requested (complete only if requesting a new/changed role)

RC Respond Role Being Requested (complete only if you are requesting a new role)

Email Address used to sign into Volunteer Connection

Your Volunteer Connection Number

User's Phone Number (use hyphens)

User's Chapter Affiliation

Cancel

Select ...
No RC Respond role needed
General User
Duty Officer
Responder Schedule Administrator
Regional Leadership
National Leadership
Regional Administrator
Dispatcher