Hics 213 General Message Form
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2HICS 213 - GENERAL MESSAGE FORM
1. Incident Nam e
2. To
PRINT NAME: _______________________________________________
POSITION: ____________________________________________________
3. From
PRINT NAME: _______________________________________________
POSITION: ___________________________________________________
4. Subject
5. Date
6. Tim e
7. Priority
URGENT - HIGH
NON URGENT - MEDIUM
INFORMATIONAL - LOW
8. Message
RESPONSE REQUIRED
9. Approved by
PRINT NAME: _______________________________________
SIGNATURE:___________________________________________
10. Reply / Action Taken
11. Replied by
PRINT NAME: ___________________________________________
SIGNATURE: _________________________________________
POSITION: ______________________________________________
FACILITY: ____________________________________________
DATE/TIME: _____________________________________________
.
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Purpose:
Used to transmit messages regarding resources requested, status information, and other coordination issues
Origination:
Any personnel
HICS 213 I Page 1 of 1
Copies to:
Documentation Unit Leader
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