ICS Forms - West Virginia Division of Homeland Security

Police Motor unitsALS AmbulanceBLS AmbulanceEngineLadder TruckBus - 45 PassMedicAnimal Cont. OffBackhoeEMS Res. TeamRescueDPW SedanDump TruckDPW Light PlantStructural Eng.Street SweeperHeavy RescuePolice OfficerMedical ExaminerBuses – 20 PassPortable Morgue50. Additional Personnelnot assigned to aresource:BAYVIEW TORNADO ICS-2091. Incident Name: Bayview Tornado 2. Incident Number: 0502Incident Resource Commitment Summary48. Agency orOrganization:City of NeedlandGranger County FireDepartmentArkansas Pass FireDepartmentBoise FireDepartmentCalvinton FireDepartmentColumbia StatePoliceGranger AreaTransit EnterpriseGranger CountyEMSGranger CountySherriffCity of PleasantGrove49. Resources (summarize resources by category, kind, and/or type; show # ofresources on top ½ of box, show # of personnel associated with resource onbottom ½ of box):33331632482288156072872812245 7 3 4 55 7454 511113 4 33 43 3 3 2 8 3 53 6128 8 6 52 2 2 6 24 8 8 6 82 3 2 44128 46 76 7121217172142918181816165 2 6 1 2 2208 6 4 4 4154040232311112 11 912121986421341551. TotalPersonnel(includes thoseassociatedwith resources– e.g., aircraftor engines –and individualoverhead):MED STAT 3 3020Port Arkansas 5 5Taft PoliceDepartmentGranger CountyDPW53 473 44 6 7 84 6 7 89143029654383014338050833952. TotalResources794215502218525 115 6 4 13203 123 902 121 85 86153. Additional Cooperating and Assisting Organizations Not Listed Above:ICS 209, Page ___ of ___* Required when applicable.