DEMOBILIZATION CHECKOUT
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1. INCIDENT NAME/NUMBER:              2. DATE/TIME:      3. DEMOB. NO:

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4. UNIT/PERSONNEL RELEASED:

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5. TRANSPORTATION TYPE/NO:

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6. ACTUAL RELEASE DATE/TIME:                7. MANIFEST (YES/NO):
                                               NUMBER:
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8. DESTINATION:                             9. AGENCY/REGION/AREA NOTIFIED:
                                               NAME:
                                               DATE:
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10. UNIT LEADER RESPONSIBLE FOR COLLECTING PERFORMANCE RATING:

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11. UNIT/PERSONNEL     YOU AND YOUR RESOURCES HAVE BEEN RELEASED SUBJECT TO
                       SIGNOFF FROM THE FOLLOWING:

                       (DEMOB. UNIT LEADER CHECK APPROPRIATE BOX)
    LOGISTICS SECTION

    ___ SUPPLY UNIT:
    ___ COMMINICATIONS UNIT:
    ___ FACILITIES UNIT:
    ___ GROUND SUPPORT UNIT LEADER:

    PLANNING SECTION

    ___ DOCUMENTATION UNIT:

    FINANCE SECTION

    ___ TIME UNIT:

    OTHER (LIST)

    ___
    ___

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12. REMARKS:






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                                                               FILE: ICS221C