USPS Inflatable Life Jacket Annual Reporting Form

USPS Inflatable Life Jacket Annual Reporting Form

Squadron Name: City:

State:

Zip:

District #

Original Distribution Received Sept 2008

Reductions/Additions (Explain below) Losses (Explain below)

Total in possession

New Squadrons / Lost Squadrons

Lost, Damaged or destroyed Inflatable Life Jackets

Explanation

Squadron Commander or VSC Chair

Signature

Date

Note:

This form must be provided to the National VSC Committee Life Jacket Loaner

Program Chair* annually, no later than November 15th of each year.

.doc or .pdf – fill out and save to your computer and then right click on the file and pick send via email. Your email will open the file will be attached.

Note: This form should be emailed to Stf/C Lee R. Chasse.

You may send it .doc / .docx / .pdf / or a normal text message

You may also mail the form to the address below

*Stf/C Lee R. Chasse, AP

1541 Tredegar Dr
Ft Myers, FL 33919

Email Address:

Phone: Cell 603-973-2556

VCS-5 V 2011-2