California Standardized Emergency Management System
                       Fire & Rescue Branch Status Report

From County Operational Area:     

Region:                       

Law Mutual Aid Region:                 Fire Mutual Aid Region:

1. Event Name:                         2. Event Date:

3. Overall Status:                     4. As Of: (date/time)

5. Areas Affected: 

6. Situation: 

RESOURCES  | SR  | ST  |  RESOURCES                   RESOURCES
------------------------------------------------------------------------------
7. ENGINES |     |     |  10. HELICOPTERS  |     |    13. RESCUE/MED  |     |
           |     |     |                   |     |                    |     |
8. DOZERS  |     |     |  11. AIRTANKERS   |     |    14. WATER TEND  |     |
           |     |     |                   |     |                    |     |
9. CREWS   |     |     |  12. TRUCK COs    |     |    15. OVERHEAD    |     |

16. # FIRES:                     20. # OUTBUILDINGS DESTROYED:

17. # ACRES BURNED:              21. # OUTBUILDINGS THREATENED:

18. # HOMES DESTROYED:           22. # COMMERCIAL STRUCTURES DESTROYED:

19. # HOMES THREATENED:          23. # COMMERCIAL STRUCTURES THREATENED:


                                       |               REMARKS
------------------------------------------------------------------------------
24. # HAZMAT INCIDENTS:       |        |
                              |        |
25. # FIREFIGHTERS INJURED:   |        |
                              |        |
26. # FIREFIGHTERS KILLED:    |        |
                              |        |
27. MUTUAL AID REC PAST 24hrs |(Yes/NO)|
                              |        |
28. MUTUAL AID PROJ NEXT 24hrs|(Yes/No)|
                              |        |
29. CRITICAL ISSUES:          |(Yes/No)|
                              |        |
30. PROGNOSIS: (No Change/Worsening/Improving)

31. POINT OF CONTACT

a. Name:                               b. Phone:

c. Fax Number:                         d. Alt Number:

Created by:                          on: (date/time)

Last Modified by:                    on: (date/time)