ICS Forms - West Virginia Division of Homeland Security

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1. Incident Name (Optional):2. To (Name and Position):GENERAL MESSAGE (ICS 213)3. From (Name and Position):4. Subject: 5. Date: 6. Time7. Message:8. Approved by: Name: Signature: Position/Title:9. Reply:10. Replied by: Name: Position/Title: Signature:ICS 213Date/Time:
ICS 213General MessagePurpose. The General Message (ICS 213) is used by the incident dispatchers to record incoming messages that cannotbe orally transmitted to the intended recipients. The ICS 213 is also used by the Incident Command Post and otherincident personnel to transmit messages (e.g., resource order, incident name change, other ICS coordination issues, etc.)to the Incident Communications Center for transmission via radio or telephone to the addressee. This form is used tosend any message or notification to incident personnel that requires hard-copy delivery.Preparation. The ICS 213 may be initiated by incident dispatchers and any other personnel on an incident.Distribution. Upon completion, the ICS 213 may be delivered to the addressee and/or delivered to the IncidentCommunication Center for transmission.Notes:The ICS 213 is a three-part form, typically using carbon paper. The sender will complete Part 1 of the form and sendParts 2 and 3 to the recipient. The recipient will complete Part 2 and return Part 3 to the sender.A copy of the ICS 213 should be sent to and maintained within the Documentation Unit.Contact information for the sender and receiver can be added for communications purposes to confirm resourceorders. Refer to 213RR example (Appendix B)BlockNumberBlock TitleInstructions1 Incident Name (Optional) Enter the name assigned to the incident. This block is optional.2 To (Name and Position) Enter the name and position the General Message is intended for. Forall individuals, use at least the first initial and last name. For UnifiedCommand, include agency names.3 From (Name and Position) Enter the name and position of the individual sending the GeneralMessage. For all individuals, use at least the first initial and last name.For Unified Command, include agency names.4 Subject Enter the subject of the message.5 Date Enter the date (month/day/year) of the message.6 Time Enter the time (using the 24-hour clock) of the message.7 Message Enter the content of the message. Try to be as concise as possible.8 Approved byNameSignaturePosition/TitleEnter the name, signature, and ICS position/title of the personapproving the message.9 Reply The intended recipient will enter a reply to the message and return it tothe originator.10 Replied byNamePosition/TitleSignatureDate/TimeEnter the name, ICS position/title, and signature of the person replyingto the message. Enter date (month/day/year) and time prepared (24-hour clock).
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National IncidentManagement SystemI
Page 6 and 7:
INCIDENT BRIEFING (ICS 201)1. Incid
Page 8:
INCIDENT BRIEFING (ICS 201)1. Incid
Page 11 and 12: BlockNumberBlock Title8 Current and
Page 13 and 14: ICS 202Incident ObjectivesPurpose.
Page 15 and 16: ORGANIZATION ASSIGNMENT LIST (ICS 2
Page 17 and 18: BlockNumberBlock TitleInstructions6
Page 19 and 20: ICS 204Assignment ListPurpose. The
Page 21 and 22: 1. Incident Name: 2. Date/Time Prep
Page 23 and 24: BlockNumber4(continued)Block TitleT
Page 25 and 26: ICS 205ACommunications ListPurpose.
Page 27 and 28: ICS 206Medical PlanPurpose. The Med
Page 29 and 30: 3. Organization ChartINCIDENT ORGAN
Page 31 and 32: SAFETY MESSAGE/PLAN (ICS 208)1. Inc
Page 33 and 34: INCIDENT STATUS SUMMARY (ICS 209)*1
Page 35 and 36: INCIDENT STATUS SUMMARY (ICS 209)*1
Page 37 and 38: ICS 209Incident Status SummaryPurpo
Page 41 and 42: BlockNumberBlock TitleAPPROVAL & RO
Page 43 and 44: BlockNumberBlock Title27 Note any e
Page 45 and 46: BlockNumberBlock TitleInstructionsA
Page 47 and 48: BlockNumber*32(continued)Block Titl
Page 49 and 50: BlockNumberBlock Title35 Weather Co
Page 51 and 52: BlockNumberBlock Title39 Critical R
Page 53 and 54: BlockNumberBlock Title47 Remarks (o
Page 57 and 58: ICS 210Resource Status ChangePurpos
Page 59 and 60: ICS 211Incident Check-In ListPurpos
Page 61: BlockNumberBlock Title16 Data Provi
Page 65 and 66: ACTIVITY LOG (ICS 214)1. Incident N
Page 67 and 68: 3. Branch4. Division, Group,or Othe
Page 71 and 72: ICS 215AIncident Action Plan Safety
Page 73 and 74: ICS 218Support Vehicle/Equipment In
Page 75 and 76: ICS 219Resource Status Card (T-Card
Page 77 and 78: ICS 219-1: Header CardBlock TitlePr
Page 79 and 80: ICS 219-2: Crew/Team CardBlock Titl
Page 81 and 82: ST/Unit: LDW: # Pers: Order #:ST/Un
Page 83 and 84: Block TitlePrepared byDate/TimeInst
Page 85 and 86: ICS 219-4: Helicopter CardBlock Tit
Page 87 and 88: ICS 219-5: Personnel CardBlock Titl
Page 95 and 96: ICS 219-8: Miscellaneous Equipment/
Page 101 and 102: 1. Incident Name: 2. Operational Pe
Page 103 and 104: BlockNumberBlock Title8 Frequencies
Page 105 and 106: ICS 221Demobilization Check-OutPurp
Page 107 and 108: BlockNumberBlock Title10 Prepared b
Page 109 and 110: INCIDENT PERSONNEL PERFORMANCE RATI
Page 113 and 114:
ICS 209, Page 1 of ___StructuresOth
Page 115 and 116:
BAYVIEW TORNADO ICS-209*1. Incident
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FinanceLogisticsRequestorRESOURCE R
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ICS Forms - West Virginia Division of Homeland Security

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