INSTRUCTIONS TO COMPLETE MM02 TEAM LEADER REPORT
DATE: (Top) Date of the incident.
TIME DISPATCHED: Notification Time
TIME ASSEMBLED: When resources are assembled to proceed – Where units are immediately
dispersed to provide coverage and there is no assembly, use the time the leader reaches the
assigned location.
TIME @ STAGING: Arrival at staging.
TIME OF DEMOBILIZATION: Release by IC or Staging Manager.
INCIDENT LOCATION/DESIGNATION: Provide the address or general location of the
incident requiring action. If given a recognized incident name for general identification, provide
same.
PHONE NO.: Business phone
LEADER NAME: Name of resource leader
LEADER TITLE: Rank or Organizational Title
EMAIL: Optional, for contact
ORGANIZATION: Primary employer of the person completing this report.
RESOURCE TYPE & DESIGNATION: Listing of type and designation of resources leader is
responsible for.
UNITS ASSIGNED: List the Town, District or Company, and radio designation.
GENERAL ACTIVITY DESCRIPTION: Provide summary of who, what, where, why and how
information.
Also, if units are used in the incident, complete activity log ICS214 to indicate the activity of
committed units.
COMMENTS: General thoughts on the operation, whether good, bad or indifferent.
SIGNATURE: Person completing.
DATE: Date report was completed.
MM02 instructions 9-30-05 Rev 00
