Emergency Surge Support (EMPACT) Request Form

Requestor details
Name
Title and Country Office
Email
Details of the Assignment
Position Title
Duty Station (location and country)
Name and Title of the in-country supervisor during the deployment
Deployment Start Date Deployment Start Date / DD / MM YYYY
Deployment End Date Deployment End Date / DD / MM YYYY
Is this an existing position

Is this an existing position Yes No
Justification of request
Explain why this role is urgently needed.
Main Tasks and Duties
Please provide a brief TOR for the emergency assignment. This should not be a full JD but rather a list of priorities that should be accomplished during the deployment.
Other essential requirements (languages, nationality, DRC experience etc.)?
Is funding available to cover the full cost of the assignment?

Is funding available to cover the full cost of the assignment? Yes No
Is the deployment to a declared emergency?

Is the deployment to a declared emergency? No (this is an emergency gap filling request) Small Emergency (this is an emergency gap filling request) Medium Emergency Large Emergency
Terms of Deployment
The Emergency Unit reserves the right to withdraw EMPACT staff early from gap-filling deployments if a medium or large-scale emergency is declared. From 2 January 2025 onwards, declared emergency deployments will take priority, and Country Offices receiving EMPACT gap-filling support should be prepared for this. If an EMPACT member is withdrawn, a 48-hour handover period will be provided, with travel expected to begin within three days.

I confirm that I am aware of these terms of deployment

The Emergency Unit reserves the right to withdraw EMPACT staff early from gap-filling deployments if a medium or large-scale emergency is declared. From 2 January 2025 onwards, declared emergency deployments will take priority, and Country Offices receiving EMPACT gap-filling support should be prepared for this. If an EMPACT member is withdrawn, a 48-hour handover period will be provided, with travel expected to begin within three days.

I confirm that I am aware of these terms of deployment Yes

Emergency Surge Support (EMPACT) Request Form

Emergency Surge Support (EMPACT) Request Form

Requestor details

Details of the Assignment

Terms of Deployment