HICS - 203 ORGANIZATIONAL ASSIGNMENT LIST
 1. Incident Name    
 2. Operational Period (# )
Date From: Date To:
Time From: Time To:
POSITION
NAME
CONTACT INFO (PHONE, CELL, RADIO)
3. Incident Commander(s) and Staff          Paste Name and Contact Info Data from a Spreadsheet
    Incident Commander
    Public Information Officer
    Liaison Officer
    Safety Officer
    Medical-Technical Specialist:
    Medical-Technical Specialist:
    Medical-Technical Specialist:
    Medical-Technical Specialist:
4. Operations Section          Paste Name and Contact Info Data from a Spreadsheet
    Operations Chief
    Staging Manager
    Medical Care Branch Director
    Infrastructure Branch Director
    Security Branch Director
    Hazardous Materials Branch Director
    Business Continuity Branch Director
    Patient Family Assistance Director
    Others if needed
5. Planning Section          Paste Name and Contact Info Data from a Spreadsheet
    Planning Chief
    Resources Unit Leader
    Situation Unit Leader
    Documentation Unit Leader
    Demobilization Unit Leader
6. Logistics Section           Paste Name and Contact Info Data from a Spreadsheet
    Logistics Chief
    Service Branch Director
    Support Branch Director
7. Finance / Administration Section          Paste Name and Contact Info Data from a Spreadsheet
    Finance/Administration Chief
    Time Unit Leader
    Procurement Unit Leader
    Compensation/Claims Unit Leader
    Cost Unit Leader
8. Agency Executive
9. External Agency Representative
    (in the Hospital Command Center)
10. Hospital Representative (in the external
       Emergency Operations Center)
Additional information/notes

 9. Prepared by: Name:       Position/ Title:            Date/Time:

       Facility:

       IAP Page:    

             
HICS 203 Version 1.4

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