Demob. Check-Out - Ics 221-Cg (Page 2 of 2) in pdf

Demob. Check-Out - Ics 221-Cg Page 2

DEMOB. CHECK-OUT (ICS 221-CG)

Purpose. This form provides the Planning Section information on resource releases from the incident.

Preparation. The Demobilization Unit Leader or the Planning Section initiates this form. The

Demobilization Unit Leader completes the top portion of the form after the resource supervisor has given

written notification that the resource is no longer needed.

Distribution. The individual resource will have the unit leader initial the appropriate box(es) in item 5 prior

to release from the incident. After completion, the form is returned to the Demobilization Unit Leader or

the Planning Section. All completed original forms MUST be given to the Documentation Unit.

Item # Item Title

Instructions

Incident Name

Enter the name assigned to the incident.

Operational Period

Enter the time interval for which the form applies.

Strike Team / Unit /

Enter name of Strike Team, Unit or personnel being released.

Personnel Released

Release Date/Time

Enter date (month, day, year) and time (24-hour clock) of anticipated

release.

Strike Team / Unit /

Demobilization Unit Leader will enter an "X" in the box to the left of those

Personnel

units requiring check-out. Identified Unit Leaders are to initial to the right

to indicate release. NOTE: Blank boxes are provided for any additional

unit requirements as needed, (e.g., Safety Officer, Agency Rep., etc.)

Remarks

Enter any additional information pertaining to demobilization or release

(e.g., transportation needed, destination, etc.).

Prepared By

Enter name and title of the person preparing the form.

Date/Time

Enter date (month, day, year) and time prepared (24-hour clock).

Demob. Check-Out - Ics 221-Cg Page 2