Ics Form 209 - Incident Status Summary
Download a blank fillable Ics Form 209 - Incident Status Summary in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Ics Form 209 - Incident Status Summary with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23INCIDENT STATUS SUMMARY (ICS 209)
*1. Incident Name:
2. Incident Number:
*3. Report Version (check
*4. Incident Commander(s) &
5. Incident
*6. Incident Start Date/Time:
one box on left):
Agency or Organization:
Management
Date:
Organization:
Initial
Rpt #
Time:
(if used):
Update
Time Zone:
Final
7. Current Incident Size
8. Percent (%)
*9. Incident
10. Incident
*11. For Time Period:
or Area Involved (use unit
Contained
Definition:
Complexity
From Date/Time:
Level:
label – e.g., “sq mi,” “city
_____________
block”):
Completed
To Date/Time:
_____________
Approval & Routing Information
*12. Prepared By:
*13. Date/Time Submitted:
Print Name:
ICS Position:
Time Zone:
Date/Time Prepared:
*14. Approved By:
*15. Primary Location, Organization, or
Agency Sent To:
Print Name:
ICS Position:
Signature:
Incident Location Information
*16. State:
*17. County/Parish/Borough:
*18. City:
19. Unit or Other:
*20. Incident Jurisdiction:
21. Incident Location Ownership
(if different than jurisdiction):
22. Longitude (indicate format):
23. US National Grid Reference:
24. Legal Description (township, section,
range):
Latitude (indicate format):
*25. Short Location or Area Description (list all affected areas or a reference point):
26. UTM Coordinates:
27. Note any electronic geospatial data included or attached (indicate data format, content, and collection time information and
labels):
Incident Summary
*28. Significant Events for the Time Period Reported (summarize significant progress made, evacuations, incident growth, etc.):
29. Primary Materials or Hazards Involved (hazardous chemicals, fuel types, infectious agents, radiation, etc.):
30. Damage Assessment Information (summarize
A. Structural
B. # Threatened
C. #
D. #
damage and/or restriction of use or availability to
Summary
(72 hrs)
Damaged
Destroyed
residential or commercial property, natural resources,
E. Single Residences
critical infrastructure and key resources, etc.):
F. Nonresidential
Commercial Property
Other Minor
Structures
Other
ICS 209, Page 1 of ___
* Required when applicable.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal