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
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:
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
RXM2
FMO
RXB2
PSC3
STKN
LSC 3
FIRB(Level 1 or 2)
FBAN
FEMO
Holding Spec.(Use ICS Qual)
RXFA
RXFS
RXFM
IGNITION/HOLDING
SOF1, SOF2, OR SOF3
PIO1, PIO2, OR PIOF
ENGINE T6
ENGINE OTHER(identify type)
WATER TENDER(identify type)
FUEL TENDER(identify type)
DOZER(identify type)
CREWS T1
CREWS T2
DIVS
TFLD
STEN
ATV
ATV W/ OPERATOR
HTMG
HTMM
HTPT
PLDO
HECM
LAW ENFORCEMENT
TRAINEES
THSP(smoke monitor or other)
WFM1
WFM2