Fillable Form Ics 204 - Assignment List (Page 2 of 3) in pdf

ICS 204

Assignment List

Purpose. The Assignment List(s) (ICS 204) informs Division and Group supervisors of incident assignments. Once the

Command and General Staffs agree to the assignments, the assignment information is given to the appropriate Divisions

and Groups.

Preparation. The ICS 204 is normally prepared by the Resources Unit, using guidance from the Incident Objectives (ICS

202), Operational Planning Worksheet (ICS 215), and the Operations Section Chief. It must be approved by the Incident

Commander, but may be reviewed and initialed by the Planning Section Chief and Operations Section Chief as well.

Distribution. The ICS 204 is duplicated and attached to the ICS 202 and given to all recipients as part of the Incident

Action Plan (IAP). In some cases, assignments may be communicated via radio/telephone/fax. All completed original

forms must be given to the Documentation Unit.

Notes:

• The ICS 204 details assignments at Division and Group levels and is part of the IAP.

• Multiple pages/copies can be used if needed.

• If additional pages are needed, use a blank ICS 204 and repaginate as needed.

Block

Block Title

Instructions

Number

Incident Name

Enter the name assigned to the incident.

Operational Period

Enter the start date (month/day/year) and time (using the 24-hour

• Date and Time From

clock) and end date and time for the operational period to which the

form applies.

• Date and Time To

Branch

This block is for use in a large IAP for reference only.

Division

Write the alphanumeric abbreviation for the Branch, Division, Group,

Group

and Staging Area (e.g., “Branch 1,” “Division D,” “Group 1A”) in large

Staging Area

letters for easy referencing.

Operations Personnel

Enter the name and contact numbers of the Operations Section Chief,

• Name, Contact Number(s)

applicable Branch Director(s), and Division/Group Supervisor(s).

– Operations Section Chief

– Branch Director

– Division/Group Supervisor

Resources Assigned

Enter the following information about the resources assigned to the

Division or Group for this period:

• Resource Identifier

The identifier is a unique way to identify a resource (e.g., ENG-13,

IA-SCC-413). If the resource has been ordered but no identification

has been received, use TBD (to be determined).

• Leader

Enter resource leader’s name.

• # of Persons

Enter total number of persons for the resource assigned, including the

leader.

• Contact (e.g., phone, pager,

Enter primary means of contacting the leader or contact person (e.g.,

radio frequency, etc.)

radio, phone, pager, etc.). Be sure to include the area code when

listing a phone number.

• Reporting Location, Special

Provide special notes or directions specific to this resource. If

(continued)

Equipment and Supplies,

required, add notes to indicate: (1) specific location/time where the

Remarks, Notes, Information

resource should report or be dropped off/picked up; (2) special

equipment and supplies that will be used or needed; (3) whether or not

the resource received briefings; (4) transportation needs; or (5) other

information.

Form Ics 204 - Assignment List Page 2

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