Page 1 of 4 - form includes:spaces for date, address, GSA Building#, type of building, and reason for evacuation.spaces for the time the alarm sounded, how long the evacuation took, what time the evacuation was considered completed, drill/unplanned event must be reported to SAMC PIR#, and number of employees affected.section one - planning with three questions (A-C) and fillable answer spaces when needed.section two - evacuation with the first four questions (A-D) and fillable answer spaces when needed.