ICS 213 (ARES VERSION)
TIME FILED
DATE FILED
NUMBER
PRECEDENCE (CIRCLE ONE)
FROM STATION
CHECK
PLACE OF ORIGIN
24 hour
yy/mm/dd
:
/
/
EMERGENCY Priority H&W Routine
(Followed by number.) Cancel message if not delivered within specified hours of
HXB:
HANDLING
filing time; reply to originating station if not delivered.
INSTRUCTIONS
(HX):
HXC
Report date and time of delivery of the message back to the originating station.
(choose one if
required)
HXE
Delivering station GET REPLY from addressee, originate message back.
TO:
POSITION:
FROM:
POSITION:
SUBJECT:
MESSAGE BODY:
5
10
15
20
25
30
35
40
45
RECEIVED FROM:
INITIALS:
POSITION:
RECEIVED DATE:
RECEIVED BY:
RECEIVED TIME:
:
/
/
(call sign)
yy/mm/dd
REPLY:
TIME FILED
DATE FILED
FROM STATION
CHECK
PLACE OF ORIGIN
24 hour
yy/mm/dd
:
/
/
5
10
15
20
25
30
RECEIVED FROM:
INITIALS:
POSITION:
ICS 213 Compliant Amateur Radio Message Form
Version Date: 10/04/15