Form Ics 221 - Demobilization Check-Out Page 2
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4ICS 221
Demobilization Check-Out
Purpose. The Demobilization Check-Out (ICS 221) ensures that resources checking out of the incident have completed
all appropriate incident business, and provides the Planning Section information on resources released from the incident.
Demobilization is a planned process and this form assists with that planning.
Preparation. The ICS 221 is initiated by the Planning Section, or a Demobilization Unit Leader if designated. The
Demobilization Unit Leader completes the top portion of the form and checks the appropriate boxes in Block 6 that may
need attention after the Resources Unit Leader has given written notification that the resource is no longer needed. The
individual resource will have the appropriate overhead personnel sign off on any checked box(es) in Block 6 prior to
release from the incident.
Distribution. After completion, the ICS 221 is returned to the Demobilization Unit Leader or the Planning Section. All
completed original forms must be given to the Documentation Unit. Personnel may request to retain a copy of the ICS 221.
Notes:
• Members are not released until form is complete when all of the items checked in Block 6 have been signed off.
• If additional pages are needed for any form page, use a blank ICS 221 and repaginate as needed.
Block
Block Title
Instructions
Number
1
Incident Name
Enter the name assigned to the incident.
2
Incident Number
Enter the number assigned to the incident.
3
Planned Release Date/Time
Enter the date (month/day/year) and time (using the 24-hour clock) of
the planned release from the incident.
4
Resource or Personnel
Enter name of the individual or resource being released.
Released
5
Order Request Number
Enter order request number (or agency demobilization number) of the
individual or resource being released.
6
Resource or Personnel
Resources are not released until the checked boxes below have been
signed off by the appropriate overhead. Blank boxes are provided for
You and your resources are in
any additional unit requirements as needed (e.g., Safety Officer,
the process of being released.
Agency Representative, etc.).
Resources are not released until
the checked boxes below have
been signed off by the
appropriate overhead and the
Demobilization Unit Leader (or
Planning Section
representative).
• Unit/Leader/Manager/Other
• Remarks
• Name
• Signature
Logistics Section
The Demobilization Unit Leader will enter an "X" in the box to the left of
those Units requiring the resource to check out.
Supply Unit
Communications Unit
Identified Unit Leaders or other overhead are to sign the appropriate
Facilities Unit
line to indicate release.
Ground Support Unit
Security Manager
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