RESOURCE REQUEST MESSAGE (ICS 213 RR)
1. Incident Name:
This is pre-filled and cannot be edited.
2. Date/Time
/
Month
/
Day
Year
Date
3. Resource Request Number:
Please put your organization and then the number of the request. Example CVHC001
4
.
Order
(
Use additional forms when requesting different resource sources of supply
:
Requestor
Qty.
Kind
Type
Detailed Item Description: Vital characteristics, brand, specs, experience, size, etc
Arrival Date Requested
5. Requested Delivery/Reporting Location:
CVHC-7818 E Parham Rd Henrico, Va 23294 Attn: Roger Warden-804-210-5505 Contact Roger for questions
This is pre-filled and cannot be edited.
6. Suitable Substitutes/Suggested Resources/Notes
7. Requested by Name/Position:
8. Priority:
8. Urgent
9. Routine
7. Low
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Should be Empty: