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HICS 203 – ORGANIZATION ASSIGNMENT LIST
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1. INCIDENT NAME
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2. DATE PREPARED
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3. TIME PREPARED
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4. OPERATIONAL PERIOD DATE/TIME
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POSITION
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NAME / AGENCY
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5. Incident Commander and Staff
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Incident Commander
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Public Information Officer
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Liaison Officer
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Safety Officer
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Medical/Technical Specialist (Type)
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Medical/Technical Specialist (Type)
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Medical/Technical Specialist (Type)
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Medical/Technical Specialist (Type)
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Medical/Technical Specialist (Type)
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Medical/Technical Specialist (Type)
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6. Operations Section
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Chief
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Staging Manager
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Medical Care Branch
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Infrastructure Branch
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Security Branch
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Business Continuity Branch
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HazMat Branch
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Other Branch:
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7. Planning Section
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Chief
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Resources Unit
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Situation Unit
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Documentation Unit
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Demobilization Unit
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Other Branch:
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8. Logistics Section
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Chief
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Service Branch
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Support Branch
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Other Branch:
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9. Finance/Administration Section
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Chief
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Time Unit
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Procurement Unit
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Compensation/Claims Unit
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Cost Unit
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Other Branch:
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10. Agency Representative (in Hospital Command Center)
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Agency
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11. Hospital Representative (in External EOC)
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External Location
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12. PREPARED BY (RESOURCES UNIT LEADER)
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13. FACILITY NAME
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