(ICS 220) 3. Sunrise: Sunset: 2. Operational Period: Date From: Date To: 1. Incident Name: Time From: Time To: 4. Remarks (safety notes, hazards, air operations special 5. Ready Alert Aircraft: 6. Temporary Flight Restriction Number: equipment, etc.): Medivac: Altitude: New Incident: Center Point: AM FM 9. Fixed-Wing (category/kind/type, 8. Frequencies: make/model, N#, base): Air/Air Fixed-Wing Air Tactical Group Supervisor Aircraft: Air/Air Rotary-Wing – Flight Following 7. Personnel: Name: Phone Number: Air Operations Branch Air/Ground Director Air Support Group Command Other Fixed-Wing Aircraft: Supervisor Air Tactical Group Deck Coordinator Supervisor Take-Off & Landing Helicopter Coordinator Coordinator Helibase Manager Air Guard 10. Helicopters (use additional sheets as necessary): FAA N# Category/Kind/Type Make/Model Base Available Start Remarks 11. Prepared by: Name: Position/Title: Signature:
(ICS 220) 1. Incident Name: 2. Operational Period: Date From: Date To: Time From: Time To: 3. Sunrise: Sunset: 4. Remarks (safety notes, hazards, air operations special equipment, etc.): 5. Ready Alert Aircraft: 6. Temporary Flight Restriction Number: Medivac: Altitude: New Incident: Center Point: 8. Frequencies: AM FM 9. Fixed-Wing (category/kind/type, make/model, N#, base): Air/Air Fixed-Wing Air Tactical Group Supervisor Aircraft: 7. Personnel: Name: Phone Number: Air/Air Rotary-Wing – Flight Following Air Operations Branch Director Air/Ground Air Support Group Supervisor Command Other Fixed-Wing Aircraft: Air Tactical Group Supervisor Deck Coordinator Helicopter Coordinator Take-Off & Landing Coordinator Helibase Manager Air Guard 10. Helicopters (use additional sheets as necessary): FAA N# Category/Kind/Type Make/Model Base Available Start Remarks 11. Prepared by: Name: Position/Title: Signature:
FEMA-220-fillable.docx