Resource Request Message

Purpose: The 213RR EPA is used by all incident personnel to request tactical and non-tactical resources.

ICS-213 RR EPA
Requestor	1. Incident Name:

2. Date/Time:

3. Resource Request Number:

4. ORDER Note: Use additional forms when requesting different resource sources of supply
a. Qty	b. Kind	c. Type	d. Priority

U or R	e. Detailed item description (vital characteristics, brand, specs, experience, etc.) and, if applicable, purpose/use, diagrams, and other info.	f. Requested Reporting	g. Order #

(LSC)	h. ETA

(LSC)	i. Cost
Location:	Date/Time:
5. Suggested source(s) of supply - POC phone number if known and suitable substitutes:

6. Requestor Position and Signature:

Date/Time

7. Section Chief/Command Staff Approval:

Date/Time

Plan	8. RESL - check box (a) if request is for tactical or personnel resources. Then note availability in box 8.b or 8.c.	a.	b. Resources available as noted in block 12	9. RESL Review/Signature

Date/Time

c. Resources not available
Logistics	10. Requisition/Purchase Order #

11. Supplier Name/Phone/Fax/Email

13. Logistics Section Signature:

Date/Time

12. Note

14. Order placed by (check box): SPUL PROC OTHER
Finance	15. Reply/Comments from Finance

16. Finance Section Signature

Date/Time

OPERATIONAL PLANNING WORKSHEET
ICS 215 – EPA (Rev 04/07)

Incident Name

s.eddy

2013-06-26

US EPA REGION6