Form Ics 221 - Demobilization Check-Out Page 3
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Block Title
Instructions
Number
6
Finance/Administration
The Demobilization Unit Leader will enter an "X" in the box to the left of
Section
those Units requiring the resource to check out.
(continued)
Time Unit
Identified Unit Leaders or other overhead are to sign the appropriate line
to indicate release.
Other Section/Staff
The Demobilization Unit Leader will enter an "X" in the box to the left of
those Units requiring the resource to check out.
Identified Unit Leaders or other overhead are to sign the appropriate line
to indicate release.
Planning Section
The Demobilization Unit Leader will enter an "X" in the box to the left of
those Units requiring the resource to check out.
Documentation Leader
Identified Unit Leaders or other overhead are to sign the appropriate line
Demobilization Leader
to indicate release.
7
Remarks
Enter any additional information pertaining to demobilization or release
(e.g., transportation needed, destination, etc.). This section may also be
used to indicate if a performance rating has been completed as required
by the discipline or jurisdiction.
8
Travel Information
Enter the following travel information:
Room Overnight
Use this section to enter whether or not the resource or personnel will be
staying in a hotel overnight prior to returning home base and/or unit.
Estimated Time of Departure
Use this section to enter the resource’s or personnel’s estimated time of
departure (using the 24-hour clock).
Actual Release Date/Time
Use this section to enter the resource’s or personnel’s actual release date
(month/day/year) and time (using the 24-hour clock).
Destination
Use this section to enter the resource’s or personnel’s destination.
Estimated Time of Arrival
Use this section to enter the resource’s or personnel’s estimated time of
arrival (using the 24-hour clock) at the destination.
Travel Method
Use this section to enter the resource’s or personnel’s travel method (e.g.,
POV, air, etc.).
Contact Information While
Use this section to enter the resource’s or personnel’s contact information
Traveling
while traveling (e.g., cell phone, radio frequency, etc.).
Manifest Yes No
Use this section to enter whether or not the resource or personnel has a
Number
manifest. If they do, indicate the manifest number.
Area/Agency/Region Notified
Use this section to enter the area, agency, and/or region that was notified
of the resource’s travel. List the name (first initial and last name) of the
individual notified and the date (month/day/year) he or she was notified.
9
Reassignment Information
Enter whether or not the resource or personnel was reassigned to another
incident. If the resource or personnel was reassigned, complete the
Yes No
section below.
Incident Name
Use this section to enter the name of the new incident to which the
resource was reassigned.
Incident Number
Use this section to enter the number of the new incident to which the
resource was reassigned.
Location
Use this section to enter the location (city and State) of the new incident to
which the resource was reassigned.
Order Request Number
Use this section to enter the new order request number assigned to the
resource or personnel.
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