EOC MESSAGE FORM
PacFORMS adaption of SCCo ICS Form 213 (Ver. 2.3.4) - PacRELEASE 3.5
By Phil Henderson, KF6ZSQ
(This form works with Outpost/OpDirect for Automatic ASCII text save)

JAVASCRIPT IS NOT ENABLED IN THIS BROWSER.
THIS FORM WILL NOT WORK WITHOUT JAVASCRIPT ENABLED.

For Instructions using this form
2.) When Receiving Msg.:
Senders's msg. #

Unlock msg. nos. 2 & 3 		Msg. #

RED Areas Required

 3.) When Sending Msg.:
Receiving msg. #
Do NOT Clear Messasge.      
1a.) Date: (MM/DD/YY)
 4.) Situation Severity (Select One)
EMERGENCY
      (e.g., Life Threat)
URGENT
      (e.g., Property Threat)
OTHER
      (All Others)
 5.) Msg. Handling Order (Select One)
  IMMEDIATE
        (As Soon as Possible)
  PRIORITY
        (Less Than One Hour)
  ROUTINE
        (More Than One Hour)
 6.) Message Requests You to:
      TAKE ACTION (Check one)
           Yes     No
      REPLY (Check one)
Yes, by   No
        FOR YOUR INFO.
        (No action required)
1b.) Time: (24 hr. time)

0001 to 2400
2:00 PM = (2+12)=1400 Hrs.
To: 7.) ICS Position: (required)
From: 8.) ICS Position: (required)
9a.) Location: (required) 9b.) Location: (required)
Name: (optional) Name: (optional)
Telephone #: (optional) Telephone #: (optional)
10.) SUBJECT:      

11.) REFERENCE (e.g., Number of earlier msg.):

12.) Message (what, when, where needed; how long; contact name and phone number) KEEP MSG BRIEF

13.) Action Taken: (For use by Originator / Recipient)   -> USE SEPARATE MESSAGE FORM IF SENDING REPLY!
CC: Management       Operations       Planning       Logistics       Finance
14.) Operator use Only
How Received   or   Sent   (Check One this line and one below)
  Telephone                Dispatch Center
  EOC Radio               FAX           Courier
  Amateur Radio         Other
Operator Call Sign:  
Operator Name:  
Date:   Time:     Date/Time updated at Submit
Outgoing (Sent):
Message Originator: Send the top copy (white) to Radio, yellow to PLANNING, retain the pink copy for originators file.
Radio: After sending, complete Action Taken info. in gray area, keep white for file in Radio.
Incoming (Received):
Radio: After receiving, complete Action Taken info. in gray area, route top copy (white) to the addressee, pink copy to PLANNING; retain yellow for file in Radio.
Addressee; Take approriate action.
SCCo ICS FORM 213 (Ver. 2.3.4), 04/24/2011
Below you will see two SUBMIT buttons. The one on the left, when Submitted, will open a new window with the ASCII text so you can manually capture, copy, paste and save the text. Follow instructions in red in that window.

The SUBMIT button to the right will automatically transfer the ASCII text extracted from the form to the Outpost database via via OpDirect. OpDirect must be running to make this work or nothing is saved.