Ics Form 209 - Incident Status Summary Page 14
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23Block
Block Title
Instructions
Number
E. With Injuries/Illness
Enter the number of civilian/public injuries or illnesses directly related to the
incident. Injury or illness is defined by the incident or jurisdiction(s).
*31
F. Trapped/In Need of
Enter the number of civilians who are trapped or in need of rescue due to
(continued)
Rescue
the incident.
G. Missing (note if
Enter the number of civilians who are missing due to the incident. Indicate if
estimated)
an estimate is used.
H. Evacuated (note if
Enter the number of civilians who are evacuated due to the incident. These
estimated)
are likely to be best estimates, but indicate if they are estimated.
I. Sheltering-in-Place
Enter the number of civilians who are sheltering in place due to the incident.
(note if estimated)
Indicate if estimates are used.
J. In Temporary Shelters
Enter the number of civilians who are in temporary shelters as a direct result
(note if estimated)
of the incident, noting if the number is an estimate.
K. Have Received Mass
Enter the number of civilians who have received mass immunizations due to
Immunizations
the incident and/or as part of incident operations. Do not estimate.
L. Require Mass
Enter the number of civilians who require mass immunizations due to the
Immunizations (note if
incident and/or as part of incident operations. Indicate if it is an estimate.
estimated)
M. In Quarantine
Enter the number of civilians who are in quarantine due to the incident
and/or as part of incident operations. Do not estimate.
N. Total # Civilians
Enter sum totals for Columns 31A and 31B for Rows 31D–M.
(Public) Affec
ted
• This section is for summary information regarding incident-related
*32
Responder Status
Summary
injuries, illness, and fatalities for responders; see 32C–N.
• Illnesses include those that may be related to a biological event such as
an epidemic or an exposure to toxic or radiological substances directly in
relation to the incident.
• Explain or describe the nature of any reported injuries, illness, or other
activities in Block 33.
• NOTE: Do not estimate any fatality information or responder status
information.
• NOTE: Please use caution when reporting information in this section that
may be on the periphery of the incident or change frequently. This
information should be reported as accurately as possible as a snapshot
in time, as much of the information is subject to frequent change.
• NOTE: Do not complete this block if the incident covered by the ICS 209
is not directly responsible for these actions (such as evacuations,
sheltering, immunizations, etc.) even if they are related to the incident.
Only the authority having jurisdiction should submit reports for these
actions, to mitigate multiple/conflicting reports.
Handling Sensitive Information
• Release of information in this section should be carefully coordinated
within the incident management organization to ensure synchronization
with public information and investigative/intelligence actions.
• Thoroughly review the “Distribution” section in the introductory ICS 209
instructions for details on handling sensitive information. Use caution
when providing information in any situation involving fatalities, and verify
that appropriate notifications have been made prior to release of this
information. Electronic transmission of any ICS 209 may make
information available to many people and networks at once.
• Information regarding fatalities should be cleared with the Incident
Commander and/or an organizational administrator prior to submission of
the ICS 209.
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