MOBILIZATION/TRANSPORTATION INFORMATION - NWCG
NWCG Incident Check-In Form (ICS 211 WF)
INCIDENT INFORMATION
Geographic Area:
Incident Name: Incident Number:
RESOURCE INFORMATION
IROC Request#: Resource Name: Incident Assignment: Total Personnel Assigned: Cell Phone Number: E-mail Address: State: Agency: Unit ID#:
Trainee: Contractor: Contract Type: Contract Agreement#: AD Employee(s): Name(s)/ECI#:
YES NO YES NO
YES NO
Home Unit/Company Name: Emergency Contact No#:
MOBILIZATION/TRANSPORTATION INFORMATION
Mobilization Start Date:
Is This a Reassignment:
YES NO
Start Date*:
Previous Incident Name:
Method of Travel:
GACC:
Mobilization Jetport:
Strike Team/Task Force:
YES NO
Demob City:
Identifier:
State:
Vehicle Description(s):
UTV/ATV:
YES NO
Vehicle ID(s):
UTV/ATV Approved:
YES NO
Rental Vehicle(s):
YES NO
Are Rental(s) NERV Vehicles: YES NO
Return Location:
*Reference agency policy, including the Interagency Standards for Fire and Fire Aviation Operations (Red Book).
CONTRACTED/OTHER EQUIPMENT
Is this an Engine/Equipment: YES NO
Resource Type/Kind:
Double Shift Ordered:
YES NO
Double Shift Capable:
YES NO
Name of Operator(s):
Transport/Lowboy: Transport to Stay at Incident: YES NO Transport/Lowboy E#: Transport Vehicle ID:
CREW/MODULE INFORMATION
Is This a Crew/Module: Leader Name: Assistant Name: Assistant Contact Phone: Medical Qualifications: Medical Equipment:
YES NO
Crew Bus: Bus to Stay at Incident: Bus E#: Crew Training Needs: UAS: UAS Carded Pilot:
YES NO YES NO
YES NO YES NO
Check-In Documentation Reviewed by Resource Unit _________ (Documentation can include Red Card, Resource Order, Contract Documentation, etc.)
Signature: ________________________ Position: _____________________________ Date: __________
ICS 211 WF (07/22)
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