INCIDENT STATUS SUMMARY FORM 209 1. Date/Time: 2. Initial/Update/Final 3. Incident Name: 4. Inc#: 5. IC: 6. Jurisdictions: 7. County: 8. Type Inc: 9. Location: 10. Date/Time Started: 11. Cause: 12. Area involved: 13. % Cont: 14. Exp. Containment (Date/Time): 15. Est. Control (Date/Time): 16. Declared Control (Date/Time): 17. Current Threat: 18. Control Problems: 19. Est Loss: 20. Est. Savings: 21. Injuries: 22. Deaths: 22. Line Built: 23: Line to Build: 24. Current Weather: WS: WD: Temp: RH: 25. Predicted Weather: WS: WD: Temp: RH: 26. Costs to date: 27. Est. Total Cost: 28. Resources Heli- Air Rsrv Water Ovrhd Total Engin Dozer Crews coptr Tankr Co's Med. Tend. Prsnl Prsnl 29. Agencies: ----- ----- ----- ----- ----- ----- ----- ----- ----- ----- SR ST SR ST SR ST SR ST SR ST SR ST SR ST TOTALS: SR TOTALS: ST 30. Cooperating agencies: 31. Remarks: 32. Prepared by: 33. Approved by: 34. Sent to: Date: Time: By: FILE:ICS209