Crisis Communication Holding Statement Template Form
Use this form to capture the minimum information needed to prepare an immediate holding statement during a crisis.
Organization/Company Name
*
Incident or Crisis Title
*
Date and Time of Incident Awareness
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Primary Contact Name
*
First Name
Last Name
Primary Contact Job Title/Role
*
Contact Email
*
example@example.com
Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Brief Factual Incident Summary
*
Current Status / What is Confirmed
*
Internal Approval/Status for Release
*
Please Select
Not yet reviewed
Pending approval
Approved for release
Do not release
Preferred Next-Update Timing
*
Please Select
Within 1 hour
Within 2 hours
By end of day
As soon as new information is available
Submit
Should be Empty: