Advanced Burn Notification

Pueblo Interagency Dispatch Center

Prescribed Burn Advanced Notification

Your full name: (Required)
Your e-mail address: (e.g.: you@aol.com) (Required)

Name of Burn Plan:

Administrative unit:

NWCGG Complexity:

Burn Boss Name & Phone:

Estimated Date:

Location:

Prescribed Fire Activites Planned? Yes No

Is this burn a: WUI Non-WUI Both are planned

Project Name:

County/Agency unit/Legal Description:

Acres:

Fuel Model:

Burn Objectives:

Potential Smoke Sensitive Areas:

Duration of Burn: Charge Code:

Aerial Resources :

Dispatch needs to make notifications	Yes No
Dispatch needs to notify APCD	Yes No
Estimate of time of commitment for above resources:

Additional Personnel Needed: Yes No	Additional Equipment Needed: Yes No
Comments, Personnel Requirements ect:
Extended Dispatch Staffing Needs (estimate time)?
Transportation Needed:	Yes No
Comments, transportation needs, training opportunities/needs etc :
Directions for briefing location

POC Name	Office Number	Cell Number	E-mail

POSITION:	RESOURCE NAME:	DISPATCH ORDER:	QUANTITY:	COOPERATORS ACCEPTED:
LINE OFFICER		Yes No		Yes No
RXM2		Yes No		Yes No
FMO		Yes No		Yes No
RXB2		Yes No		Yes No
PSC3		Yes No		Yes No
STKN		Yes No		Yes No
LSC 3		Yes No		Yes No
FIRB(Level 1 or 2)		Yes No		Yes No
FBAN		Yes No		Yes No
FEMO		Yes No		Yes No
Holding Spec.(Use ICS Qual)		Yes No		Yes No
RXFA		Yes No		Yes No
RXFS		Yes No		Yes No
RXFM		Yes No		Yes No
IGNITION/HOLDING		Yes No		Yes No
IGNITION/HOLDING		Yes No		Yes No
IGNITION/HOLDING		Yes No		Yes No
IGNITION/HOLDING		Yes No		Yes No
IGNITION/HOLDING		Yes No		Yes No
IGNITION/HOLDING		Yes No		Yes No
IGNITION/HOLDING		Yes No		Yes No
IGNITION/HOLDING		Yes No		Yes No
IGNITION/HOLDING		Yes No		Yes No
IGNITION/HOLDING		Yes No		Yes No
SOF1, SOF2, OR SOF3		Yes No		Yes No
PIO1, PIO2, OR PIOF		Yes No		Yes No
ENGINE T6		Yes No		Yes No
ENGINE T6		Yes No		Yes No
ENGINE T6		Yes No		Yes No
ENGINE T6		Yes No		Yes No
ENGINE T6		Yes No		Yes No
ENGINE OTHER(identify type)		Yes No		Yes No
WATER TENDER(identify type)		Yes No		Yes No
FUEL TENDER(identify type)		Yes No		Yes No
DOZER(identify type)		Yes No		Yes No
CREWS T1		Yes No		Yes No
CREWS T2		Yes No		Yes No
DIVS		Yes No		Yes No
TFLD		Yes No		Yes No
STEN		Yes No		Yes No
ATV		Yes No		Yes No
ATV W/ OPERATOR		Yes No		Yes No
HTMG		Yes No		Yes No
HTMM		Yes No		Yes No
HTPT		Yes No		Yes No
PLDO		Yes No		Yes No
HECM		Yes No		Yes No
LAW ENFORCEMENT		Yes No		Yes No
TRAINEES		Yes No		Yes No
THSP(smoke monitor or other)		Yes No		Yes No
WFM1		Yes No		Yes No
WFM2		Yes No		Yes No

NOTE - DOCUMENTS TO E-MAIL:
Medical Plan, Contigency Plan and Assignments, Vicinty Map, Burn Unit Map, and Notification List(if PIDC is making them) to copbcdispatch@gmail.com