Layton City Volunteer and Release Agreement For C.E.R.T. Participation



Background Check and Liability Release


As a condition of volunteering, I give Layton City permission to conduct a thorough background check on me, which may include a review of sex offender registries, criminal history records, and law enforcement records. I give Layton City permission to inquire into my educational background, references, licenses, and employment and/or volunteer history. I also give permission to the holder of any such information to release it to Layton City. I understand that all volunteer positions are conditioned upon favorable background information as determined by Layton City. I hold Layton City harmless of any liability, criminal or civil that may arise as a result of the release of this information about me. I also hold harmless any individual or organization that provides information to Layton City. I understand that Layton City will use this information only as part of its verification of my volunteer application.

I understand that Layton City is not obligated to provide me with a volunteer placement. I also understand that I am not obligated to accept the volunteer position offered. I understand that Layton City reserves the right to terminate my volunteer status at any time and that I may withdraw as a volunteer at any time. I understand that volunteer positions are charitable contributions to Layton City without anticipation of compensation of any kind or consideration of future employment.

In consideration of the acceptance of my application to participate in the CERT course, I hereby waive, release and discharge any and all claims for property damages, personal injury or death which I may have, or which may hereafter accrue to me, as a result of my participation in CERT training and other activities including emergency responses. This release is intended to discharge, in advance, the City of Layton, its officials, officers, volunteers, employees and agents from liability, even though that liability may arise out of negligence on the part of the persons or entities mentioned above. It is understood that some activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns

Consent For Treatment

By applying for, and participating in this CERT program, I hereby give my consent to be treated by emergency medical personnel, a physician, or surgeon, in case of sudden illness or injury while participating in the training and response activities. It is understood that Layton City provides no medical insurance for such treatment, and that the cost thereof will be at my expense.

As A CERT Volunteer:


  1. I understand that while responding of my own accord to assist my family and others in times of need, I am acting as an unaffiliated CERT volunteer and not an official volunteer of Layton City.
  2. I understand that I become an official Layton City CERT Volunteer only at the request of Layton City upon registering at a City established Volunteer Coordination Center (VCC) and receiving a specific assignment from Layton City. I may be notified to respond to a City VCC during a disaster or emergency by the Emergency Alert System (EAS), the Emergency Notification System (ENS), or other means. I understand that Layton City, in its sole discretion, has the right, should this job placement be inappropriate, to suggest alternative placement or terminate my volunteer services
  3. I understand that while serving as an official Layton City CERT Volunteer, it is my responsibility to have my time-recorded daily by my assigned supervisor and that at the conclusion of my official volunteer service, it is my responsibility to report the number of hours to the Layton CERT Coordinator. I understand that my service will not be credited unless I report the number of hours I have worked as indicated in this paragraph.
  4. I will strictly observe all safety rules and use care in the performance of my assigned tasks. I will perform only those assigned tasks that are within my physical capability and will not undertake any tasks that are beyond my physical capability or ability
  5. I understand that in the event I am injured while performing my assignments as an official Layton City CERT Volunteer, I am entitled to Workers Compensation, but for medical benefits only. I recognize that in accordance with the Utah Volunteer Government Workers Act (67-20-1 et. seq. UCA), workers compensation medical benefits shall be the exclusive remedy for any injury I sustain in the course and scope of my requested and approved participation in the CERT program.
  6. I will maintain the same confidentiality of information that is expected of paid employees. I agree to refrain from divulging to any unauthorized employees or any outside source any confidential information obtained while I am an official Layton City CERT volunteer. I realize that this is privileged information and is not to be shared with anyone other than a current authorized employee of Layton City, and then, only as necessary to carry out my assignment. I understand that I am obligated to report to my assigned supervisor any information, which may affect any records of the City
  7. I will observe all staff rules and policies, accept supervision, and give my assigned supervisor and the Layton CERT Coordinator adequate notice before terminating either a specific volunteer assignment that I have accepted, or my general availability as a CERT volunteer. I will not undertake to operate or use vehicles, equipment or tools that I am unfamiliar with or have not been trained to operate properly and safely, and have not received specific authorization to use from my supervisor.
  8. I understand that as a CERT Volunteer, in both an unaffiliated and an official capacity, I do not have the authority to act as a City Official, Police Officer, Firefighter, EMT, or Emergency Services Personnel.
  9. The training that I receive as a CERT Volunteer consists of approximately 21 hours class instruction, and includes 9 units: Disaster Preparedness, Fire Safety, Disaster Medical Operations Part I and II, Light Search and Rescue Operations, CERT Organization, Disaster Psychology, Terrorism and CERT, and Course Review/Disaster Simulation. This training constitutes a Basic Skills Training Class and not an Advanced Training Class. This training is not intended to provide me with the qualifications to act as a professional.
  10. I will carry out CERT responsibilities and assignments to the best of my ability.
  11. I will treat everyone with respect, patience, integrity, courtesy, and dignity. I will not use profanity, or make humiliating, ridiculing, threatening, or degrading statements.
  12. I grant permission to Layton City to reproduce and publicize pictures and/or news articles pertaining to my services to, or interest in the Layton City CERT volunteer program