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INCIDENT COMMAND SYSTEM PUBLICATION
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Resource Order Request Worksheet
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ICS-213-RR
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05-15-2015
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Trial Resource Request Form
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The ordering process has been around for some time and works well in most cases. Issues and
clarifications come up from time to time that can delay or cause confusion. This is especially
true if the commander’s intent or agreement is not clarified or stated, for example. Our
ordering system relies on the General Message ICS 213 form. This means that it is up to the
writer to convey what is being ordered. That process is learned from past experiences and is
completely subject to the receivers interpretation of what is written. If questions arise, the
order is delayed until clarification can be made.
This trial form is not a requirement nor does it take the place of the ICS 213. It is a job aid
that the user can choose to use to simplify the ordering process. It was adapted from the US
Coast Guard ICS-213-RR for our use. Various subject matter experts in ROSS have included
items on the form that assist in the basic input requirements for an order along with the
accessory things that can go along with it. It prompts the user to think about all the items
associated with an order. It is by no means, all inclusive.
This FIRESCOPE Trial Resource Request Form is being provided to assist you and make the
ordering process simplified. It also contributes substantially to the documentation of an order.
You may find it useful, you may find it cumbersome. Either way, we’d like to know what you
think.
1. Does it assist you in simplifying an order?
2. Is there anything on the form that you feel could be added to make it better?
3. Is the form too cumbersome and confusing?
4. If you used the form on an incident, how did it work?
5. Was it well received from the Ordering Manager and Expanded?
So, give it a try. All we ask is that you make sure the Ordering Manager and Expanded are
aware that you will be using the form and we’d like your comments, up or down, for final
determination.
Send your comments to Bill.Bondshu@caloes.ca.gov
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Kind or
mnemonic
Incident Name:
QTY
Type
Overhead Name Requests:
Name (ROSS):
Incident #:
Location
Time of Request:
Agreement
Approved for
Fill with
Select all appropriate
MMA CFAA Local
NO
State Fed local
Availability Confirmed: YES
CX
Signature
Position
Phone Number
Phone Number
Status: Filled
To be completed by Incident Ordering
Position
Phone Number
Date/
Time
Reporting/Delivery
Date of Request:
Detailed Description: characteristics, special needs, 4X4, 2
operator, spray bars etc. Circle appropriate needed and approved to
bring. Write in additional.
Cell Phone Laptop Printer HT Radio GPS Internet card
Private Rental vehicle 4X4 Sedan SUV Trainee OK
Cell Phone Laptop Printer HT Radio GPS Internet card
Private Rental vehicle 4X4 Sedan SUV Trainee OK
Cell Phone Laptop Printer HT Radio GPS Internet card
Private Rental vehicle 4X4 Sedan SUV Trainee OK
Phone #:
Cell Phone Laptop Printer HT Radio GPS Internet card
Private Rental vehicle 4X4 Sedan SUV Trainee OK
Agency ID:
Name Request Form attached (Local Govt Only):
YES
NO
Has the person’s Chief/Supervisor approved this special request? Yes ____ No ____
Has this request been reviewed by Incident ICS functional Chief? Yes____ No____
Is this person part of an IMT that was not on the initial incident roster? Yes ____ No ___
Local Government CA-OES Region: 1 2
3
4
5
6
Position
UTF
Signature
Date/Time:
Section Chief and IC approval REQUIRED FOR NAME REQUEST ONLY:
Signature
Comments/Considerations/Special Instructions:
Requested By:
Name
Section Chief Approval:
Name
IC/DPIC Approval:
Name
Ordering Manager:
Name:
Expanded ECC:
ICS-213-RR Resource Order Request Worksheet 06-15-2015