INCIDENT CHECK-IN LIST ICS 211

1. INCIDENT/EVENT NAME 2. START DATE AND TIME 3. CHECK-IN LOCATION (Please check)
Date: Time: □Base □ Camp □Staging Area □ ICP □Others

4. CHECK-IN INFORMATION
Order/ Check-In Date Resource Identifier Name of Name of Contact Total No. Departure Details With Incident Other Data Sent
Request and Time Agency / Leader Details of Pers. Manifest? Assignment Qualifications to RESL
No. Kind Type Office / Home
Single ST TF Base Point of Date and Time Method of Yes No
Resource Origin Travel

Use additional sheets as needed

Page of 5. Prepared by ( ) Name and Signature: Date Prepared: Time Prepared: