ICS FORMS

E/L/G 0300 Intermediate Incident Command System for Expanding Incidents

Planning P
201 Incident Briefing
202 Incident Objectives
203 Organization Assignment List
204 Assignment List
205 Incident Radio Communications Plan
206 Medical Plan
207 Incident Organizational Chart
208 Safety Message Plan
211 Incident Check-In List
213 General Message
213rr Resource Request
214 Activity Log
215 Operational Planning Worksheet
215a Incident Action Plan Safety Analysis
221 Demobilization Check-Out

https://training.fema.gov/icsresource/icsforms.aspx

Wisconsin Emergency Management 08/2021

April 2019 E/L/G 0300 Intermediate Incident Command System for Expanding Incidents, ICS 300

Handout 2-1: Operational Period Planning Cycle (Planning P)

Unit 2: ICS Fundamentals Review

SM-39
 INCIDENT BRIEFING (ICS 201)
1. Incident Name: 2. Incident Number: 3. Date/Time Initiated:
Date: Time:
4. Map/Sketch (include sketch, showing the total area of operations, the incident site/area, impacted and threatened
areas, overflight results, trajectories, impacted shorelines, or other graphics depicting situational status and resource
assignment):

5. Situation Summary and Health and Safety Briefing (for briefings or transfer of command): Recognize potential
incident Health and Safety Hazards and develop necessary measures (remove hazard, provide personal protective
equipment, warn people of the hazard) to protect responders from those hazards.

6. Prepared by: Name: Position/Title: Signature:

ICS 201, Page 1 Date/Time:
 INCIDENT BRIEFING (ICS 201)
1. Incident Name: 2. Incident Number: 3. Date/Time Initiated:
Date: Time:
7. Current and Planned Objectives:

8. Current and Planned Actions, Strategies, and Tactics:

Time: Actions:

6. Prepared by: Name: Position/Title: Signature:

ICS 201, Page 2 Date/Time:
 INCIDENT BRIEFING (ICS 201)
1. Incident Name: 2. Incident Number: 3. Date/Time Initiated:
Date: Time:
9. Current Organization (fill in additional organization as appropriate):

Liaison Officer
Incident Commander(s)

Safety Officer

Public Information Officer

Operations Section Chief Planning Section Chief Logistics Section Chief Finance/Admin Section Chief

6. Prepared by: Name: Position/Title: Signature:

ICS 201, Page 3 Date/Time:
 INCIDENT BRIEFING (ICS 201)
1. Incident Name: 2. Incident Number: 3. Date/Time Initiated:
Date: Time:
10. Resource Summary:

Arrived
Resource Date/Time
Resource Identifier Ordered ETA Notes (location/assignment/status)

6. Prepared by: Name: Position/Title: Signature:

ICS 201, Page 4 Date/Time:
 INCIDENT OBJECTIVES (ICS 202)
1. Incident Name: 2. Operational Period: Date From: Date To:
Time From: Time To:
3. Objective(s):

4. Operational Period Command Emphasis:

General Situational Awareness

5. Site Safety Plan Required? Yes  No 

Approved Site Safety Plan(s) Located at:
6. Incident Action Plan (the items checked below are included in this Incident Action Plan):
 ICS 203  ICS 207 Other Attachments:
 ICS 204  ICS 208 
 ICS 205  Map/Chart 
 ICS 205A  Weather Forecast/Tides/Currents 
 ICS 206 
7. Prepared by: Name: Position/Title: Signature:
8. Approved by Incident Commander: Name: Signature:
ICS 202 IAP Page _____ Date/Time:
 ORGANIZATION ASSIGNMENT LIST (ICS 203)
1. Incident Name: 2. Operational Period: Date From: Date To:
Time From: Time To:
3. Incident Commander(s) and Command Staff: 7. Operations Section:
IC/UCs Chief
Deputy

Deputy Staging Area

Safety Officer Branch
Public Info. Officer Branch Director
Liaison Officer Deputy
4. Agency/Organization Representatives: Division/Group
Agency/Organization Name Division/Group
Division/Group
Division/Group
Division/Group
Branch
Branch Director
Deputy
5. Planning Section: Division/Group
Chief Division/Group
Deputy Division/Group
Resources Unit Division/Group
Situation Unit Division/Group
Documentation Unit Branch
Demobilization Unit Branch Director
Technical Specialists Deputy
Division/Group
Division/Group
Division/Group
6. Logistics Section: Division/Group
Chief Division/Group
Deputy Air Operations Branch
Support Branch Air Ops Branch Dir.
Director
Supply Unit
Facilities Unit 8. Finance/Administration Section:
Ground Support Unit Chief
Service Branch Deputy
Director Time Unit
Communications Unit Procurement Unit
Medical Unit Comp/Claims Unit
Food Unit Cost Unit

9. Prepared by: Name: Position/Title: Signature:

ICS 203 IAP Page _____ Date/Time:
 ASSIGNMENT LIST (ICS 204)
1. Incident Name: 2. Operational Period: 3.
Date From: Date To: Branch: 1
Time From: Time To:
4. Operations Personnel: Name Contact Number(s) Division: 1
Operations Section Chief: Group: 1
Branch Director: Staging Area: 1

Division/Group Supervisor:
5. Resources Assigned: Reporting Location,

Persons
Special Equipment and
Contact (e.g., phone, pager, radio Supplies, Remarks, Notes,

# of
Resource Identifier Leader frequency, etc.) Information

6. Work Assignments:

7. Special Instructions:

8. Communications (radio and/or phone contact numbers needed for this assignment):
Name/Function Primary Contact: indicate cell, pager, or radio (frequency/system/channel)
/
/
/
/
9. Prepared by: Name: Position/Title: Signature:
ICS 204 IAP Page _____ Date/Time:
 INCIDENT RADIO COMMUNICATIONS PLAN (ICS 205)
1. Incident Name: 2. Date/Time Prepared: 3. Operational Period:
Date: Date From: Date To:
Time: Time From: Time To:
4. Basic Radio Channel Use:
Channel
Zone Ch Name/Trunked Radio RX Freq RX TX Freq TX Mode Remarks
Grp. # Function System Talkgroup Assignment N or W Tone/NAC N or W Tone/NAC (A, D, or M)

5. Special Instructions:

6. Prepared by (Communications Unit Leader): Name: Signature:

ICS 205 IAP Page _____ Date/Time:
 MEDICAL PLAN (ICS 206)
1. Incident Name: 2. Operational Period: Date From: Date To:
Time From: Time To:
3. Medical Aid Stations:
Contact Paramedics
Name Location Number(s)/Frequency on Site?
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
 Yes  No
4. Transportation (indicate air or ground):
Contact
Ambulance Service Location Number(s)/Frequency Level of Service
 ALS  BLS
 ALS  BLS
 ALS  BLS
 ALS  BLS
5. Hospitals:
Address, Contact Travel Time
Latitude & Longitude Number(s)/ Trauma Burn
Hospital Name if Helipad Frequency Air Ground Center Center Helipad
 Yes  Yes  Yes
Level:_____  No  No

 Yes  Yes  Yes

Level:_____  No  No

 Yes  Yes  Yes

Level:_____  No  No

 Yes  Yes  Yes

Level:_____  No  No

 Yes  Yes  Yes

Level:_____  No  No
6. Special Medical Emergency Procedures:

 Check box if aviation assets are utilized for rescue. If assets are used, coordinate with Air Operations.
7. Prepared by (Medical Unit Leader): Name: Signature:
8. Approved by (Safety Officer): Name: Signature:
ICS 206 IAP Page _____ Date/Time:
 INCIDENT ORGANIZATION CHART (ICS 207)
1. Incident Name: 2. Operational Period: Date From: Date To:
Time From: Time To:
3. Organization Chart Liaison Officer
Incident Commander(s)

Safety Officer

Operations Section
Chief
Public Information Officer

Staging Area
Manager

Planning Section Logistics Section Finance/Admin

Chief Chief Section Chief

Resources Unit Ldr. Support Branch Dir. Time Unit Ldr.

Situation Unit Ldr. Supply Unit Ldr. Procurement Unit Ldr.

Documentation Unit Ldr. Facilities Unit Ldr. Comp./Claims Unit Ldr.

Demobilization Unit Ldr. Ground Spt. Unit Ldr. Cost Unit Ldr.

Service Branch Dir.

Comms Unit Ldr.

Medical Unit Ldr.

Food Unit Ldr.

ICS 207 IAP Page ___ 4. Prepared by: Name: Position/Title: Signature: Date/Time:
 ORGANIZATION CHART (ICS 207)
1. Incident Name: 2. Operational From Date: To Date:
Period:
From Time: To Time:

3. Organization Chart:

Check if Continued on Additional Pages

ICS 207 Prepared by Name: Title/Position: Signature: Date/Time:

ICS 207
Incident Organization Chart
Purpose. The Incident Organization Chart (ICS 207) provides a visual wall chart depicting the ICS organization position
assignments for the incident. The ICS 207 is used to indicate what ICS organizational elements are currently activated
and the names of personnel staffing each element. An actual organization will be event-specific. The size of the
organization is dependent on the specifics and magnitude of the incident and is scalable and flexible. Personnel
responsible for managing organizational positions are listed in each box as appropriate.

Preparation. The ICS 207 is prepared by the Resources Unit Leader and reviewed by the Incident Commander.
Complete only the blocks where positions have been activated, and add additional blocks as needed, especially for
Agency Representatives and all Operations Section organizational elements. For detailed information about positions,
consult the NIMS ICS Field Operations Guide. The ICS 207 is intended to be used as a wall-size chart and printed on a
plotter for better visibility. A chart is completed for each operational period, and updated when organizational changes
occur.

Distribution. The ICS 207 is intended to be wall mounted at Incident Command Posts and other incident locations as
needed, and is not intended to be part of the Incident Action Plan (IAP). All completed original forms must be given to the
Documentation Unit.

Notes:
• The ICS 207 is intended to be wall mounted (printed on a plotter). Document size can be modified based on individual
needs.
• Also available as 8½ x 14 (legal size) chart.
• ICS allows for organizational flexibility, so the Intelligence/Investigative Function can be embedded in several different
places within the organizational structure.
• Use additional pages if more than three branches are activated. Additional pages can be added based on individual
need (such as to distinguish more Division/Groups and Branches as they are activated).

Block
Block Title Instructions
Number
1 Incident Name Print the name assigned to the incident.
2 Operational Period Enter the start date (month/day/year) and time (using the
• Date and Time From 24-hour clock) and end date and time for the operational
period to which the form applies.
• Date and Time To
3 Organization Chart • Complete the incident organization chart.
• For all individuals, use at least the first initial and last
name.
• List agency where it is appropriate, such as for Unified
Commanders.
• If there is a shift change during the specified operational
period, list both names, separated by a slash.
4 Prepared by Enter the name, ICS position, and signature of the person
• Name preparing the form. Enter date (month/day/year) and time
prepared (24-hour clock).
• Position/Title
• Signature
• Date/Time
 SAFETY MESSAGE/PLAN (ICS 208)
1. Incident Name: 2. Operational Period: Date From: Date To:
Time From: Time To:
3. Safety Message/Expanded Safety Message, Safety Plan, Site Safety Plan:

4. Site Safety Plan Required? Yes  No 

Approved Site Safety Plan(s) Located At:
5. Prepared by: Name: Position/Title: Signature:
ICS 208 IAP Page _____ Date/Time:
ICS 208
Safety Message/Plan
Purpose. The Safety Message/Plan (ICS 208) expands on the Safety Message and Site Safety Plan.

Preparation. The ICS 208 is an optional form that may be included and completed by the Safety Officer for the Incident
Action Plan (IAP).

Distribution. The ICS 208, if developed, will be reproduced with the IAP and given to all recipients as part of the IAP. All
completed original forms must be given to the Documentation Unit.

Notes:
• The ICS 208 may serve (optionally) as part of the IAP.
• Use additional copies for continuation sheets as needed, and indicate pagination as used.

Block
Block Title Instructions
Number
1 Incident Name Enter the name assigned to the incident.
Operational Period Enter the start date (month/day/year) and time (using the 24-hour
2 • Date and Time From clock) and end date and time for the operational period to which the
form applies.
• Date and Time To
Safety Message/Expanded Enter clear, concise statements for safety message(s), priorities, and
Safety Message, Safety Plan, key command emphasis/decisions/directions. Enter information such
3 Site Safety Plan as known safety hazards and specific precautions to be observed
during this operational period. If needed, additional safety message(s)
should be referenced and attached.
4 Site Safety Plan Required? Check whether or not a site safety plan is required for this incident.
Yes  No 
Approved Site Safety Plan(s) Enter where the approved Site Safety Plan(s) is located.
Located At
Prepared by Enter the name, ICS position, and signature of the person preparing
• Name the form. Enter date (month/day/year) and time prepared (24-hour
clock).
5 • Position/Title
• Signature
• Date/Time
 INCIDENT CHECK-IN LIST (ICS 211)
1. Incident Name: 2. Incident Number: 3. Check-In Location (complete all that apply): 4. Start Date/Time:
 Base  Staging Area  ICP  Helibase  Other Date:
Time:

Check-In Information (use reverse of form for remarks or comments)

14. Incident Assignment

15. Other Qualifications

5. List single resource
personnel (overhead) by

13. Method of Travel

16. Data Provided to

10. Incident Contact

12. Departure Point,

6. Order Request #
agency and name,

9. Total Number of
8. Leader’s Name

11. Home Unit or

OR list resources by the

Resources Unit
Date and Time
following format:

7. Date/Time

Information
Personnel
Check-In
Resource
Category

ST or TF
Name or
Identifier

Agency
Agency
State

Type
Kind

ICS 211 17. Prepared by: Name: Position/Title: Signature: Date/Time:

 GENERAL MESSAGE (ICS 213)
1. Incident Name (Optional):
2. To (Name and Position):

3. From (Name and Position):

4. Subject: 5. Date: 6. Time

7. Message:

8. Approved by: Name: Signature: Position/Title:

9. Reply:

10. Replied by: Name: Position/Title: Signature:

ICS 213 Date/Time:
ICS 213
General Message

Purpose. The General Message (ICS 213) is used by the incident dispatchers to record incoming messages that cannot
be orally transmitted to the intended recipients. The ICS 213 is also used by the Incident Command Post and other
incident personnel to transmit messages (e.g., resource order, incident name change, other ICS coordination issues, etc.)
to the Incident Communications Center for transmission via radio or telephone to the addressee. This form is used to
send any message or notification to incident personnel that requires hard-copy delivery.

Preparation. The ICS 213 may be initiated by incident dispatchers and any other personnel on an incident.

Distribution. Upon completion, the ICS 213 may be delivered to the addressee and/or delivered to the Incident
Communication Center for transmission.

Notes:
• The ICS 213 is a three-part form, typically using carbon paper. The sender will complete Part 1 of the form and send
Parts 2 and 3 to the recipient. The recipient will complete Part 2 and return Part 3 to the sender.
• A copy of the ICS 213 should be sent to and maintained within the Documentation Unit.
• Contact information for the sender and receiver can be added for communications purposes to confirm resource
orders. Refer to 213RR example (Appendix B)

Block
Block Title Instructions
Number
1 Incident Name (Optional) Enter the name assigned to the incident. This block is optional.
2 To (Name and Position) Enter the name and position the General Message is intended for. For
all individuals, use at least the first initial and last name. For Unified
Command, include agency names.
3 From (Name and Position) Enter the name and position of the individual sending the General
Message. For all individuals, use at least the first initial and last name.
For Unified Command, include agency names.
4 Subject Enter the subject of the message.
5 Date Enter the date (month/day/year) of the message.
6 Time Enter the time (using the 24-hour clock) of the message.
7 Message Enter the content of the message. Try to be as concise as possible.
8 Approved by Enter the name, signature, and ICS position/title of the person
• Name approving the message.
• Signature
• Position/Title
9 Reply The intended recipient will enter a reply to the message and return it to
the originator.
10 Replied by Enter the name, ICS position/title, and signature of the person replying
• Name to the message. Enter date (month/day/year) and time prepared (24-
hour clock).
• Position/Title
• Signature
• Date/Time
 RESOURCE REQUEST MESSAGE (ICS 213 RR)
1. Incident Name: 2. Date/Time 3. Resource Request Number:

4. Order (Use additional forms when requesting different resource sources of supply.):
Qty. Kind Type Detailed Item Description: (Vital characteristics, brand, specs, Arrival Date and Time Cost
experience, size, etc.)
Requested Estimated
Requestor

5. Requested Delivery/Reporting Location:

6. Suitable Substitutes and/or Suggested Sources:

7. Requested by Name/Position: 8. Priority:  Urgent  Routine  Low 9. Section Chief Approval:

10. Logistics Order Number: 11. Supplier Phone/Fax/Email:

12. Name of Supplier/POC:
Logistics

13. Notes:

14. Approval Signature of Auth Logistics Rep: 15. Date/Time:

16. Order placed by (check box):  SPUL  PROC
17. Reply/Comments from Finance:
Finance

18. Finance Section Signature: 19. Date/Time:

ICS 213 RR, Page 1
 ACTIVITY LOG (ICS 214)
1. Incident Name: 2. Operational Period: Date From: Date To:
Time From: Time To:
3. Name: 4. ICS Position: 5. Home Agency (and Unit):

6. Resources Assigned:
Name ICS Position Home Agency (and Unit)

7. Activity Log:
Date/Time Notable Activities

8. Prepared by: Name: Position/Title: Signature:

ICS 214, Page 1 Date/Time:
ICS 214
Activity Log
Purpose. The Activity Log (ICS 214) records details of notable activities at any ICS level, including single resources,
equipment, Task Forces, etc. These logs provide basic incident activity documentation, and a reference for any after-
action report.

Preparation. An ICS 214 can be initiated and maintained by personnel in various ICS positions as it is needed or
appropriate. Personnel should document how relevant incident activities are occurring and progressing, or any notable
events or communications.

Distribution. Completed ICS 214s are submitted to supervisors, who forward them to the Documentation Unit. All
completed original forms must be given to the Documentation Unit, which maintains a file of all ICS 214s. It is
recommended that individuals retain a copy for their own records.

Notes:
• The ICS 214 can be printed as a two-sided form.
• Use additional copies as continuation sheets as needed, and indicate pagination as used.

Block
Block Title Instructions
Number
1 Incident Name Enter the name assigned to the incident.
2 Operational Period Enter the start date (month/day/year) and time (using the 24-hour clock)
• Date and Time From and end date and time for the operational period to which the form
applies.
• Date and Time To
3 Name Enter the title of the organizational unit or resource designator (e.g.,
Facilities Unit, Safety Officer, Strike Team).
4 ICS Position Enter the name and ICS position of the individual in charge of the Unit.
5 Home Agency (and Unit) Enter the home agency of the individual completing the ICS 214. Enter
a unit designator if utilized by the jurisdiction or discipline.
6 Resources Assigned Enter the following information for resources assigned:
• Name Use this section to enter the resource’s name. For all individuals, use at
least the first initial and last name. Cell phone number for the individual
can be added as an option.
• ICS Position Use this section to enter the resource’s ICS position (e.g., Finance
Section Chief).
• Home Agency (and Unit) Use this section to enter the resource’s home agency and/or unit (e.g.,
Des Moines Public Works Department, Water Management Unit).
7 Activity Log • Enter the time (24-hour clock) and briefly describe individual notable
• Date/Time activities. Note the date as well if the operational period covers
• Notable Activities more than one day.
• Activities described may include notable occurrences or events such
as task assignments, task completions, injuries, difficulties
encountered, etc.
• This block can also be used to track personal work habits by adding
columns such as “Action Required,” “Delegated To,” “Status,” etc.
8 Prepared by Enter the name, ICS position/title, and signature of the person preparing
• Name the form. Enter date (month/day/year) and time prepared (24-hour
clock).
• Position/Title
• Signature
• Date/Time
 OPERATIONAL PLANNING WORKSHEET (ICS 215)
1. Incident Name: 2. Operational Period: Date From: Date To:
Time From: Time To:

5. Work Assignment
4. Division, Group,

10. Requested
6. Resources

Equipment &

9. Reporting

Arrival Time
Instructions

7. Overhead
Position(s)

8. Special
3. Branch

& Special

Location
Supplies
or Other

Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need
Req.
Have
Need

11. Total Resources 14. Prepared by:

Required
Name:
12. Total Resources Position/Title:
Have on Hand
Signature:
13. Total Resources
Need To Order Date/Time:
ICS 215
 INCIDENT ACTION PLAN SAFETY ANALYSIS (ICS 215A)
1. Incident Name: 2. Incident Number:

3. Date/Time Prepared: 4. Operational Period: Date From: Date To:

Date: Time: Time From: Time To:
5. Incident Area 6. Hazards/Risks 7. Mitigations

8. Prepared by (Safety Officer): Name: Signature:

Prepared by (Operations Section Chief): Name: Signature:
ICS 215A Date/Time:
ICS 215A
Incident Action Plan Safety Analysis
Purpose. The purpose of the Incident Action Plan Safety Analysis (ICS 215A) is to aid the Safety Officer in completing an
operational risk assessment to prioritize hazards, safety, and health issues, and to develop appropriate controls. This
worksheet addresses communications challenges between planning and operations, and is best utilized in the planning
phase and for Operations Section briefings.

Preparation. The ICS 215A is typically prepared by the Safety Officer during the incident action planning cycle. When
the Operations Section Chief is preparing for the tactics meeting, the Safety Officer collaborates with the Operations
Section Chief to complete the Incident Action Plan Safety Analysis. This worksheet is closely linked to the Operational
Planning Worksheet (ICS 215). Incident areas or regions are listed along with associated hazards and risks. For those
assignments involving risks and hazards, mitigations or controls should be developed to safeguard responders, and
appropriate incident personnel should be briefed on the hazards, mitigations, and related measures. Use additional
sheets as needed.

Distribution. When the safety analysis is completed, the form is distributed to the Resources Unit to help prepare the
Operations Section briefing. All completed original forms must be given to the Documentation Unit.

Notes:
• This worksheet can be made into a wall mount, and can be part of the IAP.
• If additional pages are needed, use a blank ICS 215A and repaginate as needed.

Block
Block Title Instructions
Number
1 Incident Name Enter the name assigned to the incident.
2 Incident Number Enter the number assigned to the incident.
3 Date/Time Prepared Enter date (month/day/year) and time (using the 24-hour clock)
prepared.
4 Operational Period Enter the start date (month/day/year) and time (24-hour clock) and end
• Date and Time From date and time for the operational period to which the form applies.
• Date and Time To
5 Incident Area Enter the incident areas where personnel or resources are likely to
encounter risks. This may be specified as a Branch, Division, or
Group.
6 Hazards/Risks List the types of hazards and/or risks likely to be encountered by
personnel or resources at the incident area relevant to the work
assignment.
7 Mitigations List actions taken to reduce risk for each hazard indicated (e.g.,
specify personal protective equipment or use of a buddy system or
escape routes).
8 Prepared by (Safety Officer and Enter the name of both the Safety Officer and the Operations Section
Operations Section Chief) Chief, who should collaborate on form preparation. Enter date
• Name (month/day/year) and time (24-hour clock) reviewed.
• Signature
• Date/Time
 DEMOBILIZATION CHECK-OUT (ICS 221)
1. Incident Name: 2. Incident Number:
3. Planned Release Date/Time: 4. Resource or Personnel Released: 5. Order Request Number:
Date: Time:
6. Resource or Personnel:
You and your resources are in the process of being released. Resources are not released until the checked boxes
below have been signed off by the appropriate overhead and the Demobilization Unit Leader (or Planning Section
representative).
LOGISTICS SECTION
Unit/Manager Remarks Name Signature
 Supply Unit
 Communications Unit
 Facilities Unit
 Ground Support Unit
 Security Manager


FINANCE/ADMINISTRATION SECTION
Unit/Leader Remarks Name Signature
 Time Unit



OTHER SECTION/STAFF
Unit/Other Remarks Name Signature



PLANNING SECTION
Unit/Leader Remarks Name Signature

 Documentation Leader
 Demobilization Leader

7. Remarks:

8. Travel Information: Room Overnight:  Yes  No

Estimated Time of Departure: Actual Release Date/Time:
Destination: Estimated Time of Arrival:
Travel Method: Contact Information While Traveling:
Manifest:  Yes  No Area/Agency/Region Notified:
Number:
9. Reassignment Information:  Yes  No
Incident Name: Incident Number:
Location: Order Request Number:
10. Prepared by: Name: Position/Title: Signature:
ICS 221 Date/Time: