Form Ics 219-5 - T-Card (White) Page 2
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3ICS 219-5: Personnel Card
Block Title
Instructions
ST/Unit
Enter the State and or unit identifier (3–5 letters) used by the authority having
jurisdiction.
Name
Enter the individual’s first initial and last name.
Position/Title
Enter the individual’s ICS position/title.
Date/Time Checked In
Enter date (month/day/year) and time of check-in (24-hour clock) to the incident.
Name
Enter the individual’s full name.
Primary Contact
Enter the primary contact information (e.g., cell phone number, radio, etc.) for the
Information
leader.
If radios are being used, enter function (command, tactical, support, etc.), frequency,
system, and channel from the Incident Radio Communications Plan (ICS 205).
Phone and pager numbers should include the area code and any satellite phone
specifics.
Manifest
Use this section to enter whether or not the resource or personnel has a manifest. If
they do, indicate the manifest number.
Yes
No
Total Weight
Enter the total weight for the crew. This information is necessary when the crew are
transported by charter air.
Method of Travel to
Check the box(es) for the appropriate method(s) of travel the individual used to bring
Incident
himself/herself to the incident. AOV is “agency-owned vehicle.” POV is “privately
owned vehicle.”
AOV
POV
Bus
Air
Other
Home Base
Enter the home base to which the resource or individual is normally assigned (may not
be departure location).
Departure Point
Enter the location from which the resource or individual departed for this incident.
ETD
Use this section to enter the crew’s estimated time of departure (using the 24-hour
clock) from their home base.
ETA
Use this section to enter the crew’s estimated time of arrival (using the 24-hour clock) at
the incident.
Transportation Needs at
Check the box(es) for the appropriate method(s) of transportation at the incident.
Incident
Vehicle
Bus
Air
Other
Date/Time Ordered
Enter date (month/day/year) and time (24-hour clock) the crew was ordered to the
incident.
Remarks
Enter any additional information pertaining to the crew.
BACK OF FORM
Incident Location
Enter the location of the crew.
Time
Enter the time (24-hour clock) the crew reported to this location.
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