Form Ics 204 - Assignment List (Search Version)
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21. INCIDENT NAME
2. DATE PREPARED
3. TIME PREPARED
ASSIGNMENT LIST
(SEARCH VERSION)
4. BRANCH
5. DIVISON/GROUP
6. OPERATIONAL PERIOD
7. TASK/TEAM NO.
DATE
_______________________
TIME
_______________________
A
8. TASK INSTRUCTIONS
9. DISCUSS
~
S
Press
~
S
Family
~
I
Clues
~
G
Summary to
N
date
~
M
Time frame
~
E
Terrain
~
N
Anticipated
T
POD
10. TRANSPORTATION AND ROUTING INFORMATION (to and from assignment)
~
Tactics
~
Weather
~
Safety
~
~
~
~
~
P
11. FUNCTION
12. NAME
13. SPECIAL SKILLS
14. AT BRIEFING 15. AGENCY
E
~
~
R
1. Team Leader ____________________
_________________________
Yes
No
_____________
S
~
~
O
2. _______________
____________________
_________________________
Yes
No
_____________
N
~
~
N
3. _______________
____________________
_________________________
Yes
No
_____________
E
~
~
L
4. _______________
____________________
_________________________
Yes
No
_____________
~
~
5. _______________
____________________
_________________________
Yes
No
_____________
~
~
6. _______________
____________________
_________________________
Yes
No
_____________
~
~
7. _______________
____________________
_________________________
Yes
No
_____________
~
~
8. _______________
____________________
_________________________
Yes
No
_____________
E
16. PERSONAL
17. TEAM
Q
U
I
P
M
E
N
T
C
18. TASK/TEAM CALL SIGN &
19. BASE CALL SIGN & FREQUENCY
2O. PERTINANT PHONE NUMBERS
O
FREQUENCY
M
M
U
N
I
C
21. SPECIAL INSTRUCTIONS OR OTHER FREQUENCIES
A
T
I
O
N
S
A
22. "X" IF ATTACHED
T
~
~
~
T
Map (Original)
Incident Objectives (ICS-202)
Coroner Plan
~
~
~
A
Assignment Sketched on
Organization Assignment List (ICS-203)
Rescue Plan
~
~
C
second map
Radio Plan (ICS-205)
~
~
~
H
Subject Information
Medical Plan (ICS-206)
~
~
~
E
Subject Profile
Incident Status Summary (ICS-209)
~
~
~
D
Incident Briefing (ICS-201)
Air Ops Summary (ICS-220)
PREPARED BY
APPROVED BY (PLANNING SECTION CHIEF)
TEAM BRIEFED BY
Team Leader:
Upon completion of assignment, report to Debriefing at ___________________________
ICS-204
__________________________ (location).
At that time give your copy of this form to the Debriefing
(SEARCH)
Officer.
Debriefing Officer: include this copy with debriefing packet.
(INSTRUCTIONS ON REVERSE)
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