Resource Request Message (ics 213 RR)

1. Incident Name:	2. Date/Time	3. Resource Request Number:
Requestor	4. Order (Use additional forms when requesting different resource sources of supply.):
Qty.	Kind	Type	Detailed Item Description: (Vital characteristics, brand, specs, experience, size, etc.)	Arrival Date and Time	Cost
Requested	Estimated
5. Requested Delivery/Reporting Location:
6. Suitable Substitutes and/or Suggested Sources:
7. Requested by Name/Position:	8. Priority: Urgent Routine Low	9. Section Chief Approval:
Logistics	10. Logistics Order Number:	11. Supplier Phone/Fax/Email:
12. Name of Supplier/POC:
13. Notes:
14. Approval Signature of Auth Logistics Rep:	15. Date/Time:
16. Order placed by (check box): SPUL PROC
Finance	17. Reply/Comments from Finance:
18. Finance Section Signature:	19. Date/Time:
ICS 213 RR, Page 1