Equipment Request

The Training & Exercise Unit has a variety of equipment that can be utilized to support locally run training and exercise events. To request equipment please complete this form.

Step 1 of 6

This form is to request the use of NH Division of Homeland Security & Emergency Management's Training & Exercise equipment.This request form should take approximately 10 minutes to complete.There are five (5) sections in this request: Section I: Contact Information Section II: Reason for Request & Event Summary Section III: Equipment Request Section IV: Coordination Instructions Section V: Signature & Certifications
This form is to request the use of NH Division of Homeland Security & Emergency Management's Training & Exercise equipment.
This request form should take approximately 10 minutes to complete.
There are five (5) sections in this request:
Section I: Contact Information
Section II: Reason for Request & Event Summary
Section III: Equipment Request
Section IV: Coordination Instructions
Section V: Signature & Certifications

Section I: Contact Information
Are you requesting use of equipment on behalf of a SWAT/SOU recognized by the NHTOA or State Police?*

Yes

No
Agency/Organization's Name:*

Agency/Organization's Address:*
Street Address Address Line 2 City State ZIP Code

Agency/Organization's Phone:*
Primary Contact's Name:*
First Name Last Name Title
Primary Contact's Phone:*
Primary Contact's Email:*

Alternate Contact's Name:*
First Name Last Name Title
Alternate Contact's Phone:*
Alternate Contact's Email:*

Section II: Reason for Request & Event Summary
Is this request for an exercise or training event which you have already submitted a Training or Exercise Application application for?*

Yes

No
If not, please provide a short description of the training or exercise event for which you require equipment.*
Date of the event:*
MM slash DD slash YYYY

If the training or exercise event is multiple days, please pick the first date of the event.
Location of the event:*
Facility Name Street Address City State Zip Code

Section III: Equipment Request
Please note that equipment is available on a first come first serve basis. Priority is given to sanctioned exercise and training events run through the New Hampshire Division of Homeland Security & Emergency Management's Training & Exercise Unit.
Are you requesting use of the Breaching Door?*
The Breaching Door is rated for explosives.
Please note that HSEM does not currently have a trailer to transport this piece of equipment. Ample notification for use needs to be provided in order to secure appropriate transport.

It is the responsibility of the requesting party to store this piece of equipment in a covered environment when not in use.

Yes

No
Are you requesting use of HSEM's Simunitions Trailer and/or associated equipment?*

Yes

No
Do you require use of the trailer or just the equipment itself?*

Trailer and Equipment

Equipment Only
What equipment from the Simunitions Trailer are you requesting use of?*
Trailer comes with the following items as a courtesy: Water Cooler, First Aid supplies, Ear Plugs, Nitrile gloves, Training In Progress Road Signs, Firearms Cleaning Kit, Caution Tape, Broom & Dust Pan, Cleaning Wipes, Air Pump, Extension & Power Cords
Select All
9mm Glock Simunition Guns (30)
556 Conversion Kits (6)
Blue Handguns (37)
Blue Rifles (5)
Blue Shotgun (1)
Protective Body Armor (21)
Helmets (40)
Manual Breaching Equipment
Medical Training Supplies
Non-Simunition Supplies:
Select All
Vests (Reflective & Non)
Preprinted Maps
Mannequins (Adult)
Mannequins (Pediatric)
Additional Equipment:
Is there any equipment not listed here that you are looking for?
There is no guarantee that HSEM will be able to procure the equipment for your event, but we routinely work with other agencies to borrow equipment.
Additionally, we compile these requests to help justify equipment purchases to support training & exercise needs.

Section IV: Coordinating Instructions
Please note that delivery and pick up dates are not guaranteed and are subject to the availability of New Hampshire's Division of Homeland Security & Emergency Management's Training & Exercise staff. Every effort will be made to meet your needs.
Date you would like to receive the equipment:*
MM slash DD slash YYYY

Are you able to pick up the equipment?*

Yes

No, we need the equipment delivered.
Drop Off Instructions:*
Is the drop off location for the equipment different than the event location?

Yes

No
Drop Off Location:*
Building Name Street Address City State Zip Code

Date which you will be returning the equipment:*
MM slash DD slash YYYY

Are you able to return the equipment to HSEM?*

Yes

No, we need HSEM to pick up the equipment
Pick Up Instructions:*
Is the location for the equipment pick up the same as the drop off location?

Yes

No
Pick Up Location:*
Building Name Street Address City State Zip Code

Section V: Signature & Certifications
True Statements:*
By checking the box below, I certify that the statements in this request are true and correct to the best of my knowledge.

Transportation Liability:*
By checking the box below, I acknowledge that my agency is responsible for safe transport of the equipment to or from its pick up and drop off destinations.

Breaching Door & Trailer Transport Liability:*
By checking the box below, I acknowledge that my agency is responsible for safe the transportation of the HSEM Breaching Door and/or Equipment Trailer to and/or from its pick up and drop off destinations.
The trailer requires a 2" hitch and vehicle with a minimum 2,000 lbs towing capacity.
The breaching door approximately 1,000lbs and measures 7'5"h, 5'w, and 5'd.
There is no trailer available to transport the door at this time.

Use of Firearms & Simunition:*
By checking the box below, I acknowledge that my agency will use firearms and simunition in a safe manner, in accordance with the requesting agency's policies and procedures.
The New Hampshire Division of Homeland Security & Emergency Management Training & Exercise Unit recommends the use of a Safety Officer during any exercise and/or training in which there will be firearms. If you need a Safety Officer, please inform the Training & Exercise Unit and we would be happy to assist if filling this request.
Firearms are to be returned unloaded.
Any firearm malfunction is to be reported to New Hampshire Department of Safety, Division of Homeland Security & Emergency Management's Training & Exercise Unit as soon as possible. Reports can be made to (603) 271-2231 at any time.

Proper Storage:*
By checking the box below, I acknowledge that my agency is responsible for proper storage of any and all equipment borrowed from the New Hampshire Division of Homeland Security & Emergency Management's Training & Exercise Unit.
The trailer shall remain locked at all times. And when possible the trailer shall be stored in a secure environment.
Firearms and simunition will be stored in the appropriate locked cases and in a secure environment.
The breaching door is to be stored in a covered environment when not in use, to prevent deterioration.

Damages & Injuries:*
By checking the box below, I acknowledge that my agency must report any of the following to the New Hampshire Division of Homeland Security & Emergency Management's Training & Exercise Unit as soon as possible:
Damage done to any of the equipment.
Damage done to any property during the use or transport of the equipment.
Any injuries sustained during the use or transport of the equipment.
Reports can be made to (603) 271-2231 at any time.

Equipment Request

Step 1 of 6

Section I: Contact Information

Section II: Reason for Request & Event Summary

Section III: Equipment Request

Section IV: Coordinating Instructions

Section V: Signature & Certifications

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