Fillable Form 3.: ASSIGNMENT LIST (ICS 204) (FEMA)

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Form 3.: ASSIGNMENT LIST (ICS 204) (FEMA)

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ASSIGNMENT LIST (ICS 204)
1. Incident Name: 2. Operational Period:
Date From: Date To:
Time From: Time To:
3.
Branch:
Division:
Group:
Staging Area:
4. Operations Personnel: Name Contact Number(s)
Operations Section Chief:
Branch Director:
Division/Group Supervisor:
5. Resources Assigned:
# of
Persons
Contact (e.g., phone, pager, radio
frequency, etc.)
Reporting Location,
Special Equipment and
Supplies, Remarks, Notes,
Information
Resource Identifier
Leader
6. Work Assignments:
7. Special Instructions:
8. Communications (radio and/or phone contact numbers needed for this assignment):
Name/Function
Primary Contact: indicate cell, pager, or radio (frequency/system/channel)
/
/
/
/
9. Prepared by: Name: Position/Title: Signature:
ICS 204
IAP Page _____
Date/Time:
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ICS 204
Assignment List
Purpose. The Assignment List(s) (ICS 204) informs Division and Group supervisors of incident assignments. Once the
Command and General Staffs agree to the assignments, the assignment information is given to the appropriate Divisions
and Groups.
Preparation. The ICS 204 is normally prepared by the Resources Unit, using guidance from the Incident Objectives (ICS
202), Operational Planning Worksheet (ICS 215), and the Operations Section Chief. It must be approved by the Incident
Commander, but may be reviewed and initialed by the Planning Section Chief and Operations Section Chief as well.
Distribution. The ICS 204 is duplicated and attached to the ICS 202 and given to all recipients as part of the Incident
Action Plan (IAP). In some cases, assignments may be communicated via radio/telephone/fax. All completed original
forms must be given to the Documentation Unit.
Notes:
• The ICS 204 details assignments at Division and Group levels and is part of the IAP.
• Multiple pages/copies can be used if needed.
• If additional pages are needed, use a blank ICS 204 and repaginate as needed.
Block
Number
Block Title Instructions
1 Incident Name
Enter the name assigned to the incident.
2 Operational Period
• Date and Time From
• Date and Time To
Enter the start date (month/day/year) and time (using the 24-hour
clock) and end date and time for the operational period to which the
form applies.
3 Branch
Division
Group
This block is for use in a large IAP for reference only.
Write the alphanumeric abbreviation for the Branch, Division, Group,
and Staging Area (e.g., “Branch 1,” “Division D,” “Group 1A”) in large
letters for easy referencing.
4 Operations Personnel
• Name, Contact Number(s)
– Operations Section Chief
– Branch Director
– Division/Group Supervisor
Enter the name and contact numbers of the Operations Section Chief,
applicable Branch Director(s), and Division/Group Supervisor(s).
5 Resources Assigned
Enter the following information about the resources assigned to the
Division or Group for this period:
• Resource Identifier
The identifier is a unique way to identify a resource (e.g., ENG-13,
IA-SCC-413). If the resource has been ordered but no identification
has been received, use TBD (to be determined).
• Leader
Enter resource leader’s name.
• # of Persons
Enter total number of persons for the resource assigned, including the
leader.
• Contact (e.g., phone, pager,
radio frequency, etc.)
Enter primary means of contacting the leader or contact person (e.g.,
radio, phone, pager, etc.). Be sure to include the area code when
listing a phone number.
5
(continued)
Equipment and Supplies,
Remarks, Notes, Information
Provide special notes or directions specific to this resource. If
required, add notes to indicate: (1) specific location/time where the
resource should report or be dropped off/picked up; (2) special
equipment and supplies that will be used or needed; (3) whether or not
the resource received briefings; (4) transportation needs; or (5) other
information.
Block
Number
Block Title Instructions
6 Work Assignments
Provid
e a statement of the tactical objectives to be achieved within the
operational period by personnel assigned to this Division or Group.
7 Special Instructions
Enter a statement noting any safety problems, specific precautions to
be exercised, dropoff or pickup points, or other important information.
8 Communications (radio and/or
phone contact numbers needed
for this assignment)
• Name/Function
• Primary Contact: indicate
cell, pager, or radio
(frequency/system/channel)
Enter specific communications information (including emergency
numbers) for this Branch/Division/Group.
If radios are being used, enter function (command, tactical, support,
etc.), frequency, system, and channel from the Incident Radio
Communications Plan (ICS 205).
Phone and pager numbers should include the area code and any
satellite phone specifics.
In light of potential IAP distribution, use sensitivity when including cell
phone number.
Add a secondary contact (phone number or radio) if needed.
9 Prepared by
• Name
• Position/Title
• Signature
• Date/Time
Enter the name, ICS position, and signature of the person preparing
the form. Enter date (month/day/year) and time prepared (24-hour
clock).
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Form 3.: ASSIGNMENT LIST (ICS 204) (FEMA)

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Completed 7 June 2022

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