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2. Operational Period (Date/Time)
From: To: Assignment List
ICS 204-CG3. Branch
4. Division/Group/Staging
5. Operations Personnel Name Affiliation Contact # (s)
Operations Section Chief:
Deputy Operations Section Chief:
Branch Director:
Deputy Branch Director:
Division/Group Supervisor/STAM: S t r i k e T e a m / T a s k F o r c e / R e s o u r c e I d e n t i f i e r L e a d e r C o n t a c t I n f o . # # O f P e r s o n s R e p o r t i n g I n f o / N o t e s / R e m a r k s F O R M C H E C K B O X F O R M C H E C K B O X F O R M C H E C K B O X F O R M C H E C K B O X F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M C H E C K B O X F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M C H E C K B O X F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M C H E C K B O X F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M C H E C K B O X F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M C H E C K B O X F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M C H E C K B O X 7 . W o r k A s s i g n m e n t s
8 . S p e c i a l I n s t r u c t i o n s
9 . C o m m u n i c a t i o n s ( r a d i o a n d /or phone contact numbers needed for this assignment)
Assignment Channel Name Frequency (Tx) Phone
Emergency Communications
Medical Evacuation Other 10. Prepared by: Date/Time
11. Reviewed by (PSC): Date/Time
12. Reviewed by (OSC): Date/Time
ASSIGNMENT LIST (ICS 204-CG)
Purpose. The Assignment List(s) informs Division and Group supervisors of incident assignments. Once the Unified Command and General Staff agree to the assignments, the assignment information is given to the appropriate Divisions and Groups.
Preparation. The Assignment List is normally prepared by the Resources Unit, using guidance from the Incident Objectives (ICS 202-CG), Operational Planning Worksheet (ICS 215-CG), and the Operations Section Chief. The Assignment List must be approved by the Planning Section Chief and Operations Section Chief. When approved, it is included as part of the Incident Action Plan (IAP). Specific instructions for specific resources may be entered on an ICS 204a-CG for dissemination to the field. A separate sheet is used for each Division or Group. The identification letter of the Division is entered in the form title. Also enter the number (roman numeral) assigned to the Branch.
Special Note. The Assignment List, ICS 204-CG submits assignments at the level of Divisions and Groups. The Assignment List Attachment, ICS 204a-CG shows more specific assignment information, if needed. The need for an ICS 204a-CG is determined by the Planning and Operations Section Chiefs during the Operational Planning Worksheet (ICS 215-CG) development.
Distribution. The Assignment List is duplicated and attached to the Incident Objectives and given to all recipients of the Incident Action Plan. In some cases, assignments may be communicated via radio/telephone/fax. All completed original forms MUST be given to the Documentation Unit.
Item # Item Title Instructions
1. Incident Name Enter the name assigned to the incident.
2. Operational Period Enter the time interval for which the form applies.
3. Branch Enter the Branch designator.
4. Division/Group/Staging Enter the Division/Group/Staging designator.
5. Operations Personnel Enter the name of the Operations Chief, applicable Branch Director, and Division Supervisor.
6. Resources Assigned Each line in this field may have a separate Assignment List Attachment (ICS 204a-CG). Enter the following information about the resources assigned to Division or Group for this period:
Identifier List identifier
Leader Leader name
Contact Information Primary means of contacting this person (e.g., radio, phone, pager, etc.). Be sure to include area code when listing a phone number.
# Of Persons Total number of personnel for the strike team, task force, or single resource assigned.
Reporting Info/Notes/ Special notes or directions, specific to this strike team, task force, or single
Remarks resource. Enter an "X" check if an Assignment List Attachment (ICS 204a-CG) will be prepared and attached. The Planning and Operations Section Chiefs determine the need for an ICS 204a-CG during the Operational Planning Worksheet (ICS 215-CG) development.
7. Work Assignment Provide a statement of the tactical objectives to be achieved within the operational period by personnel assigned to this Division or Group.
8. Special Instructions Enter a statement noting any safety problems, specific precautions to be exercised, or other important information.
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10. Prepared By Enter the name of the person completing the form, normally the Resources Unit Leader.
Date/Time Enter date (month, day, year) and time prepared (24-hour clock).
11. Reviewed by (PSC)
Date/Time Enter date (month, day, year) and time prepared (24-hour clock).
12. Reviewed by (OSC) Enter the name of the operations person reviewing the form, normally the Operations Section Chief.
Date/Time Enter date (month, day, year) and time prepared (24-hour clock).
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