Datetime prepared enter the date monthdayyear and

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Date/Time Prepared Enter the date (month/day/year) and time (using the 24-hour clock) the form was prepared. Enter the time zone if appropriate. *13 Date/Time Submitted REQUIRED. Enter the submission date (month/day/year) and time (using the 24-hour clock). Time Zone Enter the time zone from which the ICS 209 was submitted (e.g., EDT, PST).
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Block Number Block Title Instructions *14 Approved By REQUIRED. When an incident management organization is in place, this would be the Planning Section Chief or Incident Commander at the incident. On other incidents, it could be the jurisdiction’s dispatch center manager, organizational administrator, or other manager. Print Name Print the name of the person approving the form. ICS Position The position of the person signing the ICS 209 should be entered (e.g., “Incident Commander”). Signature Signature of the person approving the ICS 209, typically the Incident Commander. The original signed ICS 209 should be maintained with other incident documents. *15 Primary Location, Organization, or Agency Sent To REQUIRED BLOCK. Enter the appropriate primary location or office the ICS 209 was sent to apart from the incident. This most likely is the entity or office that ordered the incident management organization that is managing the incident. This may be a dispatch center or a MACS element such as an emergency operations center. If a dispatch center or other emergency center prepared the ICS 209 for the incident, indicate where it was submitted initially. INCIDENT LOCATION INFORMATION Much of the “Incident Location Information” in Blocks 16–26 is optional, but completing as many fields as possible increases accuracy, and improves interoperability and information sharing between disparate systems. As with all ICS 209 information, accuracy is essential because the information may be widely distributed and used in a variety of systems. Location and/or geospatial data may be used for maps, reports, and analysis by multiple parties outside the incident. Be certain to follow accepted protocols, conventions, or standards where appropriate when submitting location information, and clearly label all location information. Incident location information is usually based on the point of origin of the incident, and the majority of the area where the incident jurisdiction is. *16 State REQUIRED BLOCK WHEN APPLICABLE. Enter the State where the incident originated. If other States or jurisdictions are involved, enter them in Block 25 or Block 44. *17 County / Parish / Borough REQUIRED BLOCK WHEN APPLICABLE. Enter the county, parish, or borough where the incident originated. If other counties or jurisdictions are involved, enter them in Block 25 or Block 47. *18 City REQUIRED BLOCK WHEN APPLICABLE. Enter the city where the incident originated. If other cities or jurisdictions are involved, enter them in Block 25 or Block 47.
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  • Fall '19
  • The Land, Incident Command System, Incident Management Organization

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