Copernicus EMS Service Request Form (SRF) Risk and Recovery Mapping Email: Tel: To be sent to the ERCC (Mon-Fri 9-17h) echo-ercc@ec.europa.eu +32-2-29-21112 Please provide the information requested in the areas marked in blue. For more information on the service and a printable/editable version of this form, please refer to http://emergency.copernicus.eu. Activation details Activating institution National Focal Point EC Services EEAS Organisation Name: Contact Person: Phone: (Office) E-mail: Date: Activated on behalf of Mobile: Fax: / / (dd/mm/yyyy) (if applicable) Activation details Region/district, country: Brief description of the activation: (event type, affected population, etc.) Intended use of the maps to be produced: Product Details Map types Please select the product type and provide a brief description/name (e.g. Earthquake hazard analysis for Teheran; Flood risk analysis for population and assets in Senegal; Evacuation plan for Haiti; etc.) Type Reference map Pre-disaster situation map Post-disaster situation map Copernicus EMS Risk & Recovery Mapping Service Request Form (SRF) Short description/name Detailed description Please provide in the following text field more details on the product(s) you need., e.g. a list of maps you require (map name, size, scale), spatial and thematic detail you need, coordinate system, etc. Risk information Please select the information you need and possibly provide further details. Hazard: Exposure: population Exposure: assets Risk: Consequences (e.g. delineation of the event impact area and damage grading) : Other, please specify: Topographic features Please select the information you need. Hydrology (rivers, lakes, reservoirs and open water, etc.) Toponyms and administrative boundaries Physiography (cliffs, contours and spot heights, etc.) Land cover (cropland, grassland, forest, natural vegetation, bare soil, wetlands, etc.) Settlements, both formal (urban, suburban, rural, etc.) and informal (slums, IDP camps, etc.) Transport (all transport networks and related infrastructure, e.g. roads, tracks, trails, railways, bridges, harbours, airfields) Industry and Utilities (industrial facilities and power stations) – – – Assets (settlements, transport networks, , industry and utilities) will be characterized, with the following detail: For scales 1:1,000 – 1:10,000: asset (e.g. building) footprints For scales 1:10,001 – 1:50,000: building blocks For scales 1:50,001 – 1:500,000: built-up areas Copernicus EMS Risk & Recovery Mapping Service Request Form (SRF) 2 Area Of Interest (AOI, geographical location) Please provide the AOI either as file together with this form (see a) or as coordinates (see b). You can use the Map Coverage Planner to generate the KML: http://emergency.copernicus.eu/mapping/tools-mapcoverageplanner a) Shapefile/KML (WGS84 Geographic only) Filename: AOI around centre point Rectangular AOI Lat b) Coordinates Long Upper left: Lat: Long: Low right: Buffer radius around point km Delivery Details All map(s) will be available on the FTP site (and shortly after on the EMS portal) in the following formats: printable map (geospatial PDF), georeferenced map (JPEG & GeoTIFF), vector files (Shp & KML/KMZ) The size for printing digital map sheets is ISO A1 (841 mm x 594 mm). Please note that Map size and Map scale are linked (refer to the Manual of Procedures for more information and examples). The default language for all products is English. Data the user could share Please mention local data you could share and which may help the map preparation or validation Content/Format/scaleShare with the SP Share with the ERCC Data (map preparation) (for map validation) detail/date Aerial imagery Topographic data Ground control points Model output Other: Comments / Further specifications / Instructions / Other information Any additional comment/request you may need to submit (e.g. on additional formats, special requirements (dissemination restrictions, other map size, etc.). Copernicus EMS Risk & Recovery Mapping Service Request Form (SRF) 3