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ICS-213RR: Resource Request
*
Indicates required field
1. Incident Name
*
2. Date/Time of Request
*
Enter Date & Time that request is being made
3. Resource Request # (If known)
*
Usually assigned by Logistics or RESL
4. ORDER (
Use additional forms when requesting different resource sources of supply.)
QUANTITY
*
KIND
*
TYPE
*
Detailed Item Description: (Vital characteristics, brand, specs, experience, size, etc.)
*
5. Resource Status
Received By:
Date/Time:
Assigned To:
Released To:
Date/Time:
Cost:
6. Requested Delivery/Reporting Location:
*
Enter specific location or reporting address for delivery of asset
6a. Requested Reporting Date/Time
*
Enter Date and Time you what the asset to report to requested location
County of Operation
*
SELECT ONE
Atlantic
Bergen
Burlington
Camden
Cape May
Essex
Gloucester
Hudson
Hunterdon
Mercer
Middlesex
Monmouth
Morris
NYC
Ocean
Passaic
Salem
Somerset
Sussex
Union
Warren
Out of State
7. Suitable Substitutes and/or Suggested Sources:
*
8. Requested by Name:
*
First
Last
Position:
*
Email
*
Phone Number
*
9. Priority: Urgent Routine Low
*
URGENT
Routine
Low
Have you place into eTeams?
*
YES
No
No Access, Please Enter
PLACE ORDER
After Action Survey - NJ PAPAL DEPLOYMENT