Read Pages%20149%20-%20174%20Forms.pdf text version

ALPHABETICAL FORMS INDEX

NFES #

1088 2657 0406 1351 1328 1335 1509 1054 0936 0411 0864 1482 1577 0891 1353 0420 0862 0422 0872 0863 0866 1078 1058 1061 1399 0878 1336 0924 0530 1132 0211 0409 1528 1325 1099 1251 1098 1326 1576 1330 1300 1286 2221 2227 2074 1064 0086 1472 1473 2052 2053 0822 2852

Description and Unit of Issue

Aircraft Contract Daily Diary, OAS -137 Aircraft Dispatch NIFC 9400-31 Aircraft Use Report, OAS-23 Air Operations Summary, ICS220 Assignment List, ICS204 Check-In List, ICS211 Check-In List, Booklet, ICS211-BS Claim/Damage, AD-382 Claim For Damage, Injury, or Death, SF95 Comm. Accountability Record, OF284 Commissary Issue Record, OF287 CPS, Contractor Performance Report Eval Crew Performance Rating, ICS224 Crew Time Report, SF261 Demobilization Checkout, ICS221 Emerg Equip Fuel/Oil Issue, OF304 Emerg Equip Rental Agreement, OF294 Emerg Equip Rental Use Env OF305 Emergency Equip Shift Ticket, OF297 Emergency Equip Use Invoice, OF286 Emerg Firefighter Time Report, OF288 Emp Claim Loss/Dam Pers Prop., DI570 Employee Eligibility Verification, I-9 Fire Weather Spec Forecast Req, D1 Five Steps to a Safe Flight, FS 5700-16 Flight Use Report, FS 6500-122 General Message, ICS213 Health Ins Claim, HCFA-1500 w/OWCP-1500 Helicopter Hand Signals Helicopter Passenger Briefing, OAS84 Helicopter Power Check, OAS87 How to Help the Inj Emp OPM#14/SS100 ICS Qualification Card PMS301-3 Incident Briefing, ICS201 Inc Claims Case File Envelope OF314 Inc Demob Vehicle Safety Insp, ICS212 Inc Injury Case File Envelope OF313 Incident Objectives, ICS202 Incident Personnel Rating, ICS225 Inc Radio Communications Plan, ICS205 Inc Replacement Requisition OF315 Inc Replacement Req, Cont., OF315A Inc Safety Analysis (LCES), ICS215A Inc Safety Anal. (LCES), ICS215A-WS Individual Performance Rating, ICS226 I/A Heli Load Calc, AMD-67/FS5700-17 I/A Heli Pass/Cargo Manifest OF252 I/A Incident Waybill, OF316 I/A Incident Waybill, Cont., OF316A I/A Mob Food Meal Order/Inv 1276-A I/A Mob. Meal Order / Inv Cont., 1276-B I/A Mob. Food Svc Perf / Eval, 1276-E I/A Mob. Food Svc Perf / Eval, 1276-H PD PD PD PG PG PG BK PG PG PD PG EA PG BK PG PD PG PG PD PG PG PG PG PG PG BK PG PG EA PG PD EA PG PG PG PG PG PG PG PG PG PG PG SH PG PD PD PG PG PD PD PD PD

Stocking Locations

NRK, PFK, GBK GBK ALL CACHES ALL CACHES ALL CACHES ALL CACHES RMK, PFK, SFK, NWK, SAK, NEK, GBK ALL CACHES

Page #

157 157 157 157 157 157 157 157 NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK, AKK 157 NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK 157 NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK, AKK 157 NRK, GBK 157 ALL CACHES 157 ALL CACHES 157 ALL CACHES 157 ALL CACHES 157 ALL CACHES 157 ALL CACHES 158 ALL CACHES 158 ALL CACHES 158 ALL CACHES 158 NRK, RMK, SFK, GBK, AKK 158 ALL CACHES 158 ALL CACHES 158 GBK 158 ALL CACHES 158 ALL CACHES 158 ALL CACHES 158 RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK 158 GBK 158 RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK 158 RMK, SFK, CA, SAK, GBK 158 GBK 159 ALL CACHES 159 NRK, GBK 159 GBK 159 NRK, GBK 159 ALL CACHES 159 ALL CACHES 159 ALL CACHES 159 NRK, RMK, PFK, SFK, CA, NWK, GBK 159 NRK, RMK, PFK, SFK, CA, NWK, GBK 159 NRK, RMK, CA, NWK, NEK, GBK, AKK 159 NRK, RMK, CA, NWK, SAK, NEK, GBK 159 ALL CACHES 159 ALL CACHES 159 ALL CACHES 160 NRK, RMK, SFK, CA, NWK, SAK, GBK 160 NRK, RMK, SFK, CA, NWK, SAK, GBK 160 NRK, SFK, CA, NWK, SAK, NEK, GBK 160 NRK, SFK, CA, NWK, SAK, NEK, GBK 160 NRK, SFK, CA, NWK, SAK, NEK, GBK 160 GBK, NRK 160

2009 NFES Catalog Part 1: Fire Supplies and Equipment

Alphabetical Forms Index

149

FORMS LISTED BY OFFICIAL FORM NUMBER

FORM#

NFES # and Form Title

U/I

Cost

AGRICULTURE DEPARTMENT (AD) FORMS

AD-102 NFES 0816 Telephone Call Register Std Pk: 50/PD Loc: ALL CACHES NFES 1054 Claim/Damage Std Pk: 50 SH/PG Loc: ALL CACHES PD $ .77

AD-382

PG

$1.61

BUREAU OF LAND MANAGEMENT (BLM) FORMS

BLM 9120-1 NFES 0370 Radio Station Log Std Pk: 50/PD Loc: ALL CACHES PD $2.09

COMPENSATION ACT (CA) FORMS

CA forms are available at www.fedforms.gov (click on agency forms) or at www.dol.gov. Copies may be ordered through www.gpo.gov

DEPARTMENT OF THE INTERIOR (DI) FORMS

DI-570 NFES 1078 Employee Claim for Loss or Damage to Pers Property (7/65) Std Pk: 50/PG Loc: NRK, RMK, SFK, GBK, AKK PG $3.28

FOREST SERVICE FORMS (FS) FORMS

AMD-103/FS5700-16

NFES 1399 Five Steps to a Safe Flight Std Pk: 100/PG Loc: GBK NFES 1064 Interagency Helicopter Load Calculation, (10/06) Std Pk: 50/PD Loc: ALL CACHES NFES 0725 Warning Tag Std Pk: 50/PG Loc: NRK, RMK, PFK, NWK, SAK, NEK, GBK NFES 0878 Flight Use Report (4/01) Std Pk: 30/BK and 10 BK/PG Loc: ALL CACHES NFES 1646 Medical Forms, Guide & Manuals, CD-ROM Loc: NRK

PG

$6.93

AMD-67/FS5700-17

PD

$1.62

FS 6400-17

EA

$ .07

FS 6500-122

BK

$3.09

EA

$3.51

IMMIGRATION AND NATURALIZATION SERVICES FORMS www.uscis.gov

I-9 NFES 1058 Employment Eligibility Verification (11/91) PG $13.44 Std Pk: 100/PG Loc: ALL CACHES REMARKS: Transition from the 11/91 edition to 6/07 edition through attrition.

2009 NFES Catalog Part 1: Fire Supplies and Equipment

Official Form Number

165

FORMS LISTED BY OFFICIAL FORM NUMBER

FORM#

NFES # and Form Title

U/I

Cost

INCIDENT COMMAND SYSTEM (ICS) FORMS www.nwcg.gov/pms/pms.htm

ICS-201 NFES 1325 Incident Briefing (1/99) Std Pk: 100/PG Loc: ALL CACHES NFES 1326 Incident Objectives (1/99) Std Pk: 100/PG Loc: ALL CACHES NFES 1327 Organization Assignment List (1/99) Std Pk: 100/PG Loc: ALL CACHES NFES 1328 Assignment List (1/99) Std Pk: 100/PG Loc: ALL CACHES NFES 1330 Incident Radio Communication Plan (8/86) Std Pk: 100/PG Loc: ALL CACHES NFES 1331 Medical Plan (8/78) Std Pk: 100/PG Loc: ALL CACHES NFES 1332 Organization Chart (1/99) Std Pk: 100/PG Loc: ALL CACHES NFES 1367 Organization Chart, Polyvinyl, 29" X 24" (1/99) Loc: NRK, RMK, SFK, CA, NWK, NEK, GBK NFES 1334 Status Change (6/83) Std Pk: 50/PD Loc: ALL CACHES NFES 1335 Check-in List (1/99) Std Pk: 100/PG Loc: ALL CACHES NFES 1509 Check-in List (1/99) 8½" x 11" Std Pk: 10 BK/PG

REMARKS: Check-in forms are color coded by resource.

PG

$9.57

ICS-202

PG

$3.39

ICS-203

PG

$4.36

ICS-204

PG

$4.20

ICS-205

PG

$4.72

ICS-206

PG

$3.47

ICS-207

PG

$4.60

ICS-207-WS ICS-210

SH PD

$2.93 $1.32

ICS-211

PG

$3.37

ICS-211-BS

BK

$ .71

Loc: RMK, PFK, SFK, NWK, NEK, GBK ICS-212 NFES 1251 Incident Demob Vehicle Safety Inspection (12/97) Std Pk: 100/PG Loc: RMK, GBK NFES 1336 General Message (1/79) Std Pk: 100/PG Loc: ALL CACHES PG $6.19

ICS-213

PG

$4.94

166

Official Form Number

2009 NFES Catalog Part 1: Fire Supplies and Equipment

FORMS LISTED BY OFFICIAL FORM NUMBER

FORM# ICS-214

NFES # and Form Title

NFES 1337 Unit Log (5/80) Std Pk: 100/PG Loc: ALL CACHES NFES 1338 Operational Planning Worksheet (9/86) Std Pk: 100/PG Loc: ALL CACHES NFES 1374 Operational Planning Worksheet, Wall Size, (9/86) 36" X 64" Laminated Loc: NRK, RMK, PFK, SFK, CA, NWK, NEK, GBK NFES 2221 Incident Safety Analysis (LCES) (11/93) Std Pk: 100/PG Loc: NRK, RMK, CA, NWK, NEK, GBK, AKK NFES 2227 Incident Safety Analysis (LCES) (11/93) 63" X 38" Laminated Loc: NRK, RMK, CA, NWK, SAK, NEK, GBK NFES 1339 Radio Requirements Worksheet (3/82) Std Pk: 100/PG Loc: ALL CACHES NFES 1340 Radio Frequency Assignment (1/99) Std Pk: 100/PG Loc: ALL CACHES NFES 1341 Support Vehicle Inventory (8/78) Std Pk: 100/PG Loc: ALL CACHES NFES 1342 Resource Status Card, Header, Gray (2/81) Std Pk: 100/PG Loc: ALL CACHES NFES 1344 Resource Status Card, Crew, Green (4/82) Std Pk: 100/PG Loc: ALL CACHES NFES 1345 Resource Status Card, Engines, Pink (4/82) Std Pk: 100/PG Loc: ALL CACHES NFES 1346 Resource Status Card, Helicopter, Blue (4/82) Std Pk: 100/PG Loc: ALL CACHES NFES 1347 Resource Status Card, Personnel, White (4/82) Std Pk: 100/PG Loc: ALL CACHES NFES 1348 Resource Status Card, Aircraft, Salmon (4/82) Std Pk: 100/PG Loc: ALL CACHES

U/I

PG

Cost

$5.90

ICS-215

PG

$9.39

ICS-215-WS

SH

$8.92

ICS-215A

PG

$6.71

ICS-215A-WS

SH

$8.90

ICS-216

PG

$4.72

ICS-217

PG

$4.78

ICS-218

PG

$3.59

ICS-219-1

PG

$2.92

ICS-219-2

PG

$2.86

ICS-219-3

PG

$2.97

ICS-219-4

PG

$3.18

ICS-219-5

PG

$3.01

ICS-219-6

PG

$3.20

2009 NFES Catalog Part 1: Fire Supplies and Equipment

Official Form Number

167

FORMS LISTED BY OFFICIAL FORM NUMBER

FORM# ICS-219-7

NFES # and Form Title

NFES 1349 Resource Status Card, Dozers, Yellow (4/82) Std Pk: 100/PG Loc: ALL CACHES NFES 1350 Resource Status Card, Equipment/Task Forces, Buff (4/82) Std Pk: 100/PG Loc: ALL CACHES NFES 2098 Resource Status Card, Accountable Property Assignment Record, White (10/88) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2099 Tag, Accountable Property Transfer, White (10/88) Std Pk: 100/PG Loc: ALL CACHES NFES 1351 Air Operation Summary (2/99) Std Pk: 100/PG Loc: ALL CACHES NFES 1353 Demobilization Checkout (1/99) Std Pk: 100/PG Loc: ALL CACHES NFES 1577 Crew Performance Rating, 3-part set (9/86) Std Pk: 100/PG Loc: ALL CACHES NFES 1576 Incident Personnel Rating, 3-part Set (9/86) Std Pk: 100/PG Loc: ALL CACHES NFES 2074 Individual Performance Rating, 2-part Set (6/89)

REMARKS: Does not replace ICS 225, either form may be used.

U/I

PG

Cost

$3.27

ICS-219-8

PG

$2.90

ICS-219-9

PG

$2.98

ICS-219-A

PG

$2.17

ICS-220

PG

$3.16

ICS-221

PG

$5.69

ICS-224

PG

$5.57

ICS-225

PG

$6.02

ICS-226

PG

$4.33

Std Pk: 100/PG Loc: ALL CACHES ICS-259-1 NFES 2200 Resource Order, Aircraft, Salmon (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2201 Resource Order, Aircraft, Continuation, Salmon (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2202 Resource Order, Crew, Green (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2203 Resource Order, Crew, Continuation, Green (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK PG $8.15

ICS-259-2

PG

$7.00

ICS-259-3

PG

$9.51

ICS-259-4

PG

$8.31

168

Official Form Number

2009 NFES Catalog Part 1: Fire Supplies and Equipment

FORMS LISTED BY OFFICIAL FORM NUMBER

FORM# ICS-259-5

NFES # and Form Title

NFES 2204 Resource Order, Dozer, Yellow (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2205 Resource Order, Dozer, Continuation, Yellow (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2206 Resource Order, Engines, Pink (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2207 Resource Order, Engines, Continuation, Pink (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2208 Resource Order, Equipment, Buff (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2209 Resource Order, Equipment, Continuation, Buff (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2211 Resource Order, Helicopter, Blue (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2212 Resource Order, Helicopter, Continuation, Blue (7/87) Std Pk: 100/PG Loc: PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2213 Resource Order, Overhead, White (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2214 Resource Order, Overhead, Continuation, White (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2215 Resource Order, Supplies, Tan (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 2216 Resource Order, Supplies, Continuation, Tan (7/87) Std Pk: 100/PG Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK NFES 1470 Resource Order, 4-part (7/87) Std Pk: 100/PG Loc: RMK, PFK,SFK, CA, NWK, SAK, NEK, AKK NFES 1471 Resource Order, Continuation, 4-part (7/87) Std Pk: 100/PG Loc: RMK, PFK,SFK, CA, NWK, SAK, NEK, AKK

U/I

PG

Cost

$9.19

ICS-259-6

PG

$2.80

ICS-259-7

PG

$9.69

ICS-259-8

PG

$5.21

ICS-259-9

PG

$9.19

ICS-259-10

PG

$7.34

ICS-259-11

PG

$5.55

ICS-259-12

PG

$5.60

ICS-259-13

PG

$8.99

ICS-259-14

PG

$4.53

ICS-259-15

PG

$7.76

ICS-259-16

PG

$7.68

ICS-260-1

PG $12.67

ICS-260-2

PG

$6.06

2009 NFES Catalog Part 1: Fire Supplies and Equipment

Official Form Number

169

FORMS LISTED BY OFFICIAL FORM NUMBER

FORM#

NFES # and Form Title

U/I

Cost

NATIONAL INCIDENT BUSINESS CONTRACTS FORMS www.fs.fed.us/fire/contracting

1276-A NFES 2052 Interagency Mobile Food Services Daily Meal Order/Invoice (1/05) Std Pk: 30/PD Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK NFES 2053 Interagency Mobile Food Services Daily Meal Order/Invoice, Continuation (1/05) Std Pk: 30/PD Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK NFES 2054 Interagency Mobile Shower Facilities Daily Shower Order/Invoice (2/04) Std Pk: 30/PD Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK NFES 2055 Interagency Mobile Shower Facilities Daily Shower Order/Invoice, Continuation (2/04) Std Pk: 30/PD Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK NFES 0822 Interagency Mobile Food Svc Performance Evaluation (1/05) Std Pk: 30/PD Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK NFES 2056 Interagency Mobile Shower Facilities Performance Evaluation (7/07) Std Pk: 30/PD Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK NFES 2743 Interagency Mobile Shower Facilities Performance Evaluation, Continuation (7/07) Std Pk: 30/PD Loc: GBK NFES 2852 Interagency Mobile Food Services Performance Evaluation, Cont. 1276-H (1/05) Std Pk: 30/PD Loc: NRK, GBK NFES 1482 CPS, Contractor Performance Report Evaluation Loc: NRK, GBK PD $4.03

1276-B

PD

$4.02

1276-C

PD

$3.91

1276-D

PD

$3.90

1276-E

PD

$4.07

1276-F

PD

$4.28

1276-G

PD

$4.57

1276-H

PD

$2.48

EA

$ .05

NATIONAL INTERAGENCY FIRE CENTER (NIFC) FORMS

9400-31 NFES 2657 Aircraft Dispatch Form (5/02) Std Pk: 25/PD Loc: GBK PD $2.11

170

Official Form Number

2009 NFES Catalog Part 1: Fire Supplies and Equipment

FORMS LISTED BY OFFICIAL FORM NUMBER

FORM#

NFES # and Form Title

U/I

Cost

NATIONAL WEATHER SERVICE FORMS www.wrh.noaa.gov/sto/rhtbl.php

B-O-6A NFES 1178 Relative Humidity & Dew Point Table (5/72)

REMARKS: For elevation 6101-8500 (AK only 5701-7900)

EA

$ .07

Loc: NRK, RMK, SFK, NWK, NEK, GBK, AKK B-O-6B NFES 1179 Relative Humidity & Dew Point Table (5/72)

REMARKS: For elevation 3901-6100 (AK only 3601-5700)

EA

$ .07

Loc: NRK, RMK, SFK, NWK, NEK, GBK, AKK B-O-6C NFES 1182 Relative Humidity & Dew Point Table (5/72)

REMARKS: For elevation 1900-3900 (AK only 1700-3600)

EA

$ .07

Loc: NRK, RMK, SFK, NWK, NEK, GBK, AKK B-O-6D NFES 1185 Relative Humidity & Dew Point Table (5/72)

REMARKS: For elevation 501-1900 (AK only 301-1700)

EA

$ .07

Loc: NRK, RMK, SFK, NWK, NEK, GBK B-O-6E NFES 2155 Relative Humidity & Dew Point Table (5/72)

REMARKS: For elevation 0-500 (AK only 0-300)

EA

$ .06

Loc: NRK, NWK, NEK, GBK, AKK B-O-6F NFES 2154 Relative Humidity & Dew Point Table (5/72)

REMARKS: For elevation 8501-11000 (AK only 7901-10000)

EA

$ .06

Loc: NWK, NEK, GBK B-O-6G NFES 2153 Relative Humidity & Dew Point Table (5/72)

REMARKS: For elevation 11001-13500 (AK only 10001-12500)

EA

$ .06

Loc: NWK, NEK, GBK, AKK D-1 NFES 1061 Fire Weather Special Forecast Request (12/86) Std Pk: 100/PG Loc: ALL CACHES PG $2.74

AVIATION MANAGEMENT DIVISION (AMD) FORMS amd.nbc.gov

AMD-23 NFES 0406 Aircraft Use Report (2/07) Std Pk: 25 SE/PD Loc: ALL CACHES NFES 1064 Interagency Helicopter Load Calculation FS-5700-17 (10/06) Std Pk: 40/PD Loc: ALL CACHES NFES 1132 Helicopter Passenger Briefing (10/06) Std Pk: 100/PG Loc: GBK NFES 0211 Helicopter Power Check (2/76) Std Pk: 50/PD Loc: RMK, PFK, SFK, CA, NWK, NEK, SAK, GBK PD $2.75

AMD-67

PD

$1.62

AMD-84

PG $11.46

OAS-87

PD

$1.36

2009 NFES Catalog Part 1: Fire Supplies and Equipment

Official Form Number

171

FORMS LISTED BY OFFICIAL FORM NUMBER

FORM# AMD-103

NFES # and Form Title

NFES 1399 Five Steps to a Safe Flight FS-5700-16 (10/06) Std Pk: 100/PG Loc: GBK NFES 1088 Aircraft Contract Daily Diary (9/01) Std Pk: 50 SE/PD Loc: NRK, PFK, GBK

U/I

PG

Cost

$7.12

OAS-137

PD

$4.08

OPTIONAL FORMS (OF) www.gsa.gov

OF-251 NFES 1159 Mobile Fire Weather Observers Record (12/89) Std Pk: 50/PD Loc: NRK, PFK, SFK, NWK, SAK, NEK, GBK, AKK NFES 0086 Interagency Helicopter Pass/Cargo Manifest (6/06) Std Pk: 50/PD Loc: ALL CACHES NFES 0411 Commissary Accountability Record (9/81) Std Pk: 50/PD Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK NFES 0863 Emergency Equipment Use Invoice (7/90) Std Pk: 100/PG 7540-01-120-4062/GSA (U/I- HD) Loc: ALL CACHES NFES 0864 Commissary Issue Record (9/81) Std Pk: 100/PG Loc: NRK, FMK, SFK, CA, NWK, SAK, NEK, GBK, AKK NFES 0866 Emergency Firefighter Time Report (3/83) Std Pk: 100/PG 7540-01-124-7633/GSA (U/I - HD) Loc: ALL CACHES NFES 0862 Emergency Equipment Rental Agreement (8/90) Std Pk: 100/PG 7540-01-121-8825/GSA (U/I- HD) Loc: ALL CACHES NFES 1173 Vehicle/Heavy Equipment Safety Inspect Checklist (4/00) Std Pk: 50/BK 7540-01-120-0607/GSA Loc: ALL CACHES NFES 0872 Emergency Equipment Shift Ticket (7/90) Std Pk: 50/PD 7540-01-119-5628/GSA (U/I - BK) Loc: ALL CACHES NFES 0420 Emergency Equipment Fuel and Oil Issue (7/90) Std Pk: 25/PD 7540-01-317-7366/GSA Loc: ALL CACHES PD $ .78

OF-252

PD

$1.41

OF-284

PD

$ .69

OF-286

PG $12.88

OF-287

PG

$5.04

OF-288

PG

$8.29

OF-294

PG $14.48

OF-296

BK $10.40

OF-297

PD

$2.40

OF-304

PD

$3.68

172

Official Form Number

2009 NFES Catalog Part 1: Fire Supplies and Equipment

FORMS LISTED BY OFFICIAL FORM NUMBER

FORM# OF-305

NFES # and Form Title

NFES 0422 Emergency Equipment Rental Use Envelope (7/90) Std Pk: 100/PG 7540-01-317-7367/GSA Loc: ALL CACHES NFES 1098 Incident Injury Case File Envelope (4/00) Std Pk: 100/PG 7540-01-475-4309/GSA Loc: NRK, RMK, GBK NFES 1099 Incident Claims Case File Envelope (4/00) Std Pk: 100/PG 7540-01-475-4308/GSA Loc: NRK, RMK, GBK NFES 1300 Incident Replacement Requisition (4/00) Std Pk: 100/PG 7540-01-475-0708/GSA Loc: NRK, RMK, PFK, SFK, CA, NWK, GBK NFES 1286 Incident Replacement Requisition, Continuation, (4/00) Std Pk: 100/PG 7540-01-475-0707/GSA Loc: NRK, RMK, PFK, SFK, CA, NWK, GBK NFES 1472 Interagency Incident Waybill (4/00) Std Pk: 100/PG 7540-01-475-4307/GSA Loc: NRK, RMK, SFK, CA, NWK, SAK, GBK NFES 1473 Interagency Incident Waybill, Continuation (4/00) Std Pk: 100/PG 7540-01-475-4306/GSA Loc: NRK, RMK, SFK, CA, NWK, SAK, GBK

U/I

Cost

PG $24.37

OF-313

PG $36.08

OF-314

PG $36.08

OF-315

PG $15.97

OF-315A

PG $15.97

OF-316

PG $16.40

OF-316A

PG $16.40

PUBLICATION MANAGEMENT SYSTEM (PMS) FORMS www.nwcg.gov

PMS 310-3 NFES 1528 ICS Qualification Card (2004) Std Pk: 100 SH/PG (4 Cards per sheet) Loc: GBK Remarks: Compatible with the IQCS Incident Qualification Card report. Preprinted on front and blank on the reverse. For more IQCS information go to iqcs.nwcg.gov NFES 2633 SAFENET (2/02) Std Pk: 50/PG Loc: GBK NFES 1591 Radio Frequency Sharing Agreement (12/84) Std Pk: 10/PG Loc: NEK, GBK PG $4.94

PMS 405-2

PG $18.35

PMS 903-1

EA

$ .14

PMS 921-1

NFES 1272 Training Course Completion Certificate (2007) PG $3.26 Std Pk: 100/PG Loc: GBK Remarks: Per the NWCG Training Working Team, only NWCG member agencies may use this certificate. For clarification, refer to the NWCG Field Manager's Course Guide at www.nwcg.gov/pms/training/training.htm

2009 NFES Catalog Part 1: Fire Supplies and Equipment

Official Form Number

173

FORMS LISTED BY OFFICIAL FORM NUMBER

FORM#

NFES # and Form Title

U/I

Cost

STANDARD FORMS (SF) www.gsa.gov

SF-91 NFES 0399 Operator's Report of Motor Vehicle Accident (2/93) Std Pk: 100/PG 7540-00-634-4041/GSA Loc: ALL CACHES NFES 0400 Statement of Witness (2/83) Std Pk: 100/PG 7540-00-634-4045/GSA Loc: ALL CACHES NFES 0936 Claim for Damage, Injury, or Death (7/85) DO NOT USE PREVIOUS EDITIONS Std Pk: 100/PG 7540-00-634-4046/GSA Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK, AKK NFES 0891 Crew Time Report (5/78) Std Pk: 50/BK 7540-01-058-0222/GSA Loc: ALL CACHES PG $4.46

SF-94

PG

$2.08

SF-95

PG

$3.38

SF-261

BK

$1.65

MISCELLANEOUS FORMS

HCFA-1500 & OWCP-1500 NFES 0924 Health Insurance Claim, (6/92) Std Pk: 50/PG Loc: ALL CACHES http://www.dol.gov/libraryforms NFES 0409 How to Help the Injured Employee Pamphlet

Administrative procedures for employee injury and what forms must be completed.

PG

$ .79

OPM #14 SS-100

EA

$ .90

Loc: RMK, SFK, CA, SAK, GBK

174

Official Form Number

2009 NFES Catalog Part 1: Fire Supplies and Equipment

FORMS LISTED ALPHABETICALLY

NFES# 1088 2657 0406 1351 1328 1335 1509

Form Title

Aircraft Contract Daily Diary, OAS-137 (9/01) Std Pk: 50 SE/PD Aircraft Dispatch Form, NIFC 9400-31 (5/02) Std Pk: 25 SE/PD Aircraft Use Report, AMD-23 (2/07) Std Pk: 25 SE/PD Air Operations Summary, ICS-220 (2/99) Std Pk: 100/PG Assignment List, ICS-204 (1/99) Std Pk: 100/PG Check-In List, ICS-211 (1/99) Std Pk: 100/PG Check-In List ICS-211-BS (1/99) Std Pk: 10 BK/PG

Remarks: Check-in forms are color coded by resource.

Stocking Location

Loc: NRK, PFK, GBK Loc: GBK Loc: ALL CACHES Loc: ALL CACHES Loc: ALL CACHES Loc: ALL CACHES Loc: RMK, PFK, SFK, NWK, SAK, NEK, GBK Loc: ALL CACHES Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK, AKK

U/I

PD PD PD PG PG PG BK

Cost

$4.08 $2.11 $2.75 $3.16 $4.20 $3.37 $ .71

1054 0936

Claim/Damage, AD-382 Std Pk: 50 SH/PG Claim For Damage, Injury, or Death, SF-95 (7/85) Std Pk: 100/PG 7540-00-634-4046/GSA

Remarks: Do Not Use Previous Editions.

PG PG

$1.61 $3.38

0411 0864 1482 1577 0891 1353 0420 0862

Commissary Accountability Record, OF-284 (9/81) Loc: NRK, RMK, SFK, CA, Std Pk: 50/PD NWK, SAK, NEK, GBK Commissary Issue Record, OF-287 (9/81) Std Pk: 100/PG CPS, Contractor Performance Report Evaluation Crew Performance Rating, 3-part, ICS-224 (9/86) Std Pk: 100/PG Crew Time Report, SF-261 (5/78) Std Pk: 50/BK 7540-01-058-0222/GSA Demobilization Checkout, ICS-221 (1/99) Std Pk: 100/PG Emergency Equip Fuel / Oil Issue, OF-304 (7/90) Std Pk: 25/PD 7540-01-317-7366/GSA Emergency Equipment Rental Agreement OF-294 (8/90) Std Pk: 100/PG 7540-01-121-8825/GSA Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK, AKK Loc: NRK, GBK Loc: ALL CACHES Loc: ALL CACHES Loc: ALL CACHES Loc: ALL CACHES Loc: ALL CACHES

PD PG EA PG BK PG PD PG

$ .69 $5.04 $.05 $5.57 $1.65 $5.69 $3.68 $14.48

2009 NFES Catalog Part 1: Fire Supplies and Equipment

Alphabetical Forms

157

FORMS LISTED ALPHABETICALLY

NFES# 0422

Form Title

Emergency Equipment Rental Use Envelope OF-305 (7/90) Std Pk: 100/PG 7540-01-317-7367/GSA Emergency Equipment Shift Ticket OF-297 (7/90) Std Pk: 50/PD 7540-01-119-5628/GSA Emergency Equipment Use Invoice OF-286 (7/90) Std Pk: 100/PG 7540-01-120-4062/GSA Emergency Firefighter Time Report OF-288 (3/83) Std Pk: 100/PG 7540-01-124-7633/GSA Employee Claim for Loss or Damage to Personal Property, DI-570 (7/65), Std Pk: 50/PG

Stocking Location

Loc: ALL CACHES

U/I

PG

Cost

$24.37

0872

Loc: ALL CACHES

PD

$2.40

0863

Loc: ALL CACHES

PG

$12.88

0866

Loc: ALL CACHES

PG

$8.29

1078

Loc: NRK, RMK, SFK, AKK, GBK

PG

$3.28

1058

Employment Eligibility Verification, I-9 (11/91) Loc: ALL CACHES Std Pk: 100/PG REMARKS: Transition from the 11/91 edition to 6/07 edition through attrition. Fire Weather Special Forecast Request D-1 (12/86) Std Pk: 100/PG Five Steps to a Safe Flight AMD-103 / FS5700-16 (10/06) Std Pk: 100/PG Flight Use Report, FS 6500-122 (4/01) Std Pk: 30/BK and 10 BK/PG General Message, ICS-213 (1/79) Std Pk: 100/PG Health Insurance Claim, HCFA-1500 w/OWCP-1500 (6/92) Std Pk: 50/PG Helicopter Hand Signals (11/89) Helicopter Passenger Briefing, AMD-84 (10/06) Std Pk: 100/PG Helicopter Power Check, OAS-87 (2/76) Std Pk: 50/PD How to Help the Injured Employee Pamphlet OPM #14 SS-100 Loc: ALL CACHES

PG

$13.44

1061

PG

$2.74

1399

Loc: GBK

PG

$7.12

0878 1336 0924

Loc: ALL CACHES Loc: ALL CACHES Loc: ALL CACHES

BK PG PG

$3.09 $4.94 $ .79

0530 1132 0211 0409

Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, SFK, CA, SAK, GBK

EA PG PD EA

$ .07 $11.46 $1.36 $ .90

Remarks: Administrative procedures for employee injury and what forms must be completed.

158

Alphabetical Forms

2009 NFES Catalog Part 1: Fire Supplies and Equipment

FORMS LISTED ALPHABETICALLY

NFES# 1528

Form Title

Stocking Location

U/I

Cost

ICS Qualification Card, PMS 310-3 (2004) Loc: GBK PG $4.94 Std Pk: 100 SH/PG (4 Cards per sheet) Loc: GBK Remarks: Compatible with the IQCS Incident Qualification Card report. Preprinted on front and blank on the reverse. For more IQCS information go to http://iqcs.nwcg.gov Incident Briefing, ICS-201 (1/99) Std Pk: 100/PG Incident Claims Case File Envelope OF-314 (4/00) Std Pk: 100/PG 7540-01-475-4308/GSA Incident Demobilization Vehicle Safety Inspection, ICS-212 (12/97) Std Pk: 100/PG Incident Injury Case File Envelope OF-313 (4/00) Std Pk: 100/PG 7540-01-475-4309/GSA Incident Objectives, ICS-202 (1/99) Std Pk: 100/PG Incident Personnel Rating, 3-part ICS-225 (9/86) Std Pk: 100/PG Incident Radio Communication Plan ICS205 (8/86) Std Pk: 100/PG Incident Replacement Requisition OF-315 (4/00) Std Pk: 100/PG 7540-01-475-0708/GSA Incident Replacement Requisition Continuation, OF-315A (4/00) Std Pk: 100/PG 7540-01-475-0707/GSA Incident Safety Analysis (LCES) ICS-215A (11/93) Std Pk: 100/PG Incident Safety Analysis (LCES), ICS-215A-WS 63"X38" Laminated (11/93) Individual Performance Rating, 2-Part Set ICS-226 (6/89) ­ Does not replace ICS-225 Std Pk: 100/PG Interagency Helicopter Load Calculation AMD-67/FS5700-17 (11/03) Std Pk: 50/PD Loc: ALL CACHES Loc: NRK, GBK PG PG $9.57 $36.08

1325 1099

1251

Loc: GBK

PG

$6.19

1098

Loc: NRK, GBK

PG

$36.08

1326 1576

Loc: ALL CACHES Loc: ALL CACHES

PG PG

$3.39 $6.02

1330

Loc: ALL CACHES

PG

$4.72

1300

Loc: NRK, RMK, PFK, SFK, CA, NWK, GBK Loc: NRK, RMK, PFK, SFK, CA, NWK, GBK Loc: NRK, RMK, CA, NWK, NEK, GBK, AKK Loc: NRK, RMK, CA, NWK, SAK, NEK, GBK Loc: ALL CACHES

PG

$15.97

1286

PG

$15.97

2221

PG

$6.71

2227 2074

SH PG

$8.90 $4.33

1064

Loc: ALL CACHES

PD

$ 1.62

2009 NFES Catalog Part 1: Fire Supplies and Equipment

Alphabetical Forms

159

FORMS LISTED ALPHABETICALLY

NFES# 0086

Form Title

Interagency Helicopter Passenger/Cargo Manifest, OF-252 (6/06) Std Pk: 50/PD Interagency Incident Waybill, OF-316 (4/00) Std Pk: 100/PG 7540-01-475-4307/GSA Interagency Incident Waybill, Continuation OF-316A (4/00) Std Pk: 100/PG 7540-01-475-4306/GSA Interagency Mobile Food Services Daily Meal Order/Invoice, 1276-A (1/05) Std Pk: 30/PD Interagency Mobile Food Services Daily Meal Order/Invoice, Continuation, 1276-B (1/05) Std Pk: 30/PD Interagency Mobile Food Services Performance Evaluation, 1276-E (2005) Std Pk: 30/PD Interagency Mobile Food Services Performance Evaluation, Cont. 1276-H (2005) Std Pk: 30/PD Interagency Mobile Shower Facilities Daily Shower Order/Invoice, 1276-C, (2/04) Std Pk: 30/PD Interagency Mobile Shower Facilities Daily Shower Order/Invoice, Cont., 1276-D (2/04) Std Pk: 30/PD Interagency Mobile Shower Facilities Performance Evaluation, 1276-F (7/07) Std Pk: 30/PD Interagency Mobile Shower Facilities Performance Evaluation, Cont., 1276-G (7/07) Std Pk: 30/PD Manual, First Aid, AMA Medical Forms, Guides and Manuals, CD ROM Medical Plan, ICS-206 (8/78) Std Pk: 100/PG Mobile Fire Weather Observer's Record OF-251 (12/89) Std Pk: 50/PD

Stocking Location

Loc: ALL CACHES

U/I

PD

Cost

$1.41

1472 1473

Loc: NRK, RMK, SFK, CA, NWK, SAK, GBK Loc: NRK, RMK, SFK, CA, NWK, SAK, GBK Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK Loc: NRK, GBK

PG PG

$16.40 $16.40

2052

PD

$4.03

2053

PD

$4.02

0822

PD

$4.07

2852

PD

$2.48

2054

Loc: NRK, SFK, CA, NWK, SAK, NEK, GBK Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK Loc: NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK Loc: GBK

PD

$3.91

2055

PD

$3.90

2056

PD

$4.28

2743

PD

$4.57

0450 1646 1331 1159

Loc: NRK, GBK Loc: NRK Loc: ALL CACHES Loc: NRK, PFK, SFK, NWK, SAK, NEK, GBK, AKK

BK EA PG PD

$1.06 $3.51 $3.47 $ .78

160

Alphabetical Forms

2009 NFES Catalog Part 1: Fire Supplies and Equipment

FORMS LISTED ALPHABETICALLY

NFES# 1338 1374 0399

Form Title

Stocking Location

U/I

PG SH PG

Cost

$9.39 $8.92 $4.46

Operational Planning Worksheet,ICS-215 (9/86) Loc: ALL CACHES Std Pk: 100/PG Operational Planning Worksheet, Wall Size 36" x 64" Laminated, ICS-215-WS (9/86) Operator's Report of Motor Vehicle Accident SF-91 (2/93) Std Pk: 100/PG 7540-00-634-4041/GSA Organization Assignment List, ICS-203 (1/99) Std Pk: 100/PG Organization Chart, ICS-207 (1/99) Std Pk: 100/PG Organization Chart, ICS-207-WS (1/99) Polyvinyl, 29" x 24" Radio Frequency Assignment, ICS-217 (1/99) Std Pk: 100/PG Radio Frequency Sharing Agreement PMS 903-1 (12/84) Std Pk: 10/PG Radio Requirements Worksheet, ICS-216 (3/82) Std Pk: 100/PG Radio Station Log, 9120-1 Std Pk: 50/PD Relative Humidity & Dew Point Table B-O-6A (5/72)

Remarks: For elevation 6101-8500 - (AK only 5701-7900)

Loc: ALL CACHES Loc: ALL CACHES

1327 1332 1367 1340 1591

Loc: ALL CACHES Loc: ALL CACHES Loc: NRK, RMK, SFK, CA NWK, NEK, GBK Loc: ALL CACHES Loc: NEK, GBK

PG PG SH PG EA

$4.36 $4.60 $2.93 $4.78 $ .14

1339 0370 1178

Loc: ALL CACHES Loc: ALL CACHES Loc: NRK, RMK, SFK, NWK, NEK, GBK Loc: NRK, RMK, SFK, NWK, NEK, GBK Loc: NRK, RMK, SFK, NWK, NEK, GBK Loc: NRK, RMK, SFK, NWK, NEK, GBK Loc: NRK, NWK, NEK, AKK, GBK Loc: NWK, NEK, GBK

PG PD EA

$4.72 $2.09 $ .07

1179

Relative Humidity & Dew Point Table B-O-6B (5/72)

Remarks: For elevation 3901-6100 (AK only 3601-5700)

EA

$ .07

1182

Relative Humidity & Dew Point Table B-O-6C (5/72)

Remarks: For elevation 1900-3900 (AK only 1700-3600)

EA

$ .07

1185

Relative Humidity & Dew Point Table B-O-6D (5/72)

Remarks: For elevation 501-1900 (AK only 301-1700)

EA

$ .07

2155

Relative Humidity & Dew Point Table B-O-6E (5/72)

Remarks: For elevation 0-500 (AK only 0-300)

EA

$ .06

2154

Relative Humidity & Dew Point Table B-O-6F (5/72)

Remarks: For elevation 8501-11000 (AK only 7901-10000)

EA

$ .06

2009 NFES Catalog Part 1: Fire Supplies and Equipment

Alphabetical Forms

161

FORMS LISTED ALPHABETICALLY

NFES# 2153

Form Title

Relative Humidity & Dew Point Table B-O-6G (5/72)

Remarks: For elevation 11001-13500 (AK only 10001-12500)

Stocking Location

Loc: NWK, NEK, GBK

U/I

EA

Cost

$ .06

1470 1471 2200

Resource Order, 4-Part, ICS-260-1 (7/87) Std Pk: 100/PG Resource Order, Cont., 4-Part ICS-260-2 (7/87) Std Pk: 100/PG Resource Order, Aircraft, Salmon ICS-259-1 (7/87) Std Pk: 100/PG Resource Order, Aircraft, Continuation Salmon, ICS-259-2 (7/87) Std Pk: 100/PG Resource Order, Crew, Green ICS-259-3 (7/87) Std Pk: 100/PG Resource Order, Crew, Continuation, Green ICS-259-4 (7/87) Std Pk: 100/PG Resource Order, Dozer, Yellow ICS-259-5 (7/87) Std Pk: 100/PG Resource Order, Dozer, Continuation, Yellow ICS-259-6 (7/87) Std Pk: 100/PG Resource Order, Engines, Pink ICS-259-7 (7/87) Std Pk: 100/PG Resource Order, Engines, Continuation, Pink ICS-259-8 (7/87) Std Pk: 100/PG Resource Order, Equipment, Buff ICS-259-9 (7/87) Std Pk: 100/PG Resource Order, Equipment, Continuation, Buff ICS-259-10 (7/87) Std Pk: 100/PG Resource Order, Helicopter, Blue ICS-259-11 (7/87) Std Pk: 100/PG Resource Order, Helicopter, Continuation, Blue ICS-259-12 (7/87) Std Pk: 100/PG

Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, AKK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, AKK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK

PG PG PG

$12.67 $6.06 $8.15

2201

PG

$7.00

2202 2203

PG PG

$9.51 $8.31

2204 2205

PG PG

$9.19 $2.80

2206 2207

PG PG

$9.69 $5.21

2208

PG

$9.19

2209

PG

$7.43

2211

PG

$5.55

2212

PG

$5.60

162

Alphabetical Forms

2009 NFES Catalog Part 1: Fire Supplies and Equipment

FORMS LISTED ALPHABETICALLY

NFES# 2213

Form Title

Resource Order, Overhead, White ICS-259-13 (7/87) Std Pk: 100/PG Resource Order, Overhead, Continuation, White ICS-259-14 (7/87) ) Std Pk: 100/PG Resource Order, Supplies, Tan ICS-259-15 (7/87) Std Pk: 100/PG Resource Order, Supplies, Continuation, Tan ICS-259-16 (7/87) Std Pk: 100/PG Resource Status Card, Accountable Property Assignment Record, ICS-219-9 (10/88) White Std Pk: 100/PG Resource Status Card, Aircraft, ICS-219-6 (4/82) Salmon Std Pk: 100/PG Resource Status Card, Crew, ICS-219-2 (4/82) Green Std Pk: 100/PG Resource Status Card, Dozers, ICS-219-7 (4/82) Yellow Std Pk: 100/PG Resource Status Card, Engines, ICS-219-3 (4/82) Pink Std Pk: 100/PG Resource Status Card, Equipment/Task Forces, ICS-219-8 (4/82) Buff Std Pk: 100/PG Resource Status Card, Header, ICS-219-1 (2/81) Gray Std Pk: 100/PG Resource Status Card, Helicopter, ICS-219-4 (4/82) Blue Std Pk: 100/PG Resource Status Card, Personnel, ICS-219-5 (4/82) White Std Pk: 100/PG SAFENET, PMS 405-2 (2/02) Std Pk: 50/PG

Stocking Location

Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK Loc: ALL CACHES

U/I

PG

Cost

$8.99

2214

PG

$4.53

2215

PG

$7.76

2216

PG

$7.68

2098

PG

$2.98

1348

PG

$3.20

1344

Loc: ALL CACHES

PG

$2.68

1349

Loc: ALL CACHES

PG

$3.27

1345

Loc: ALL CACHES

PG

$2.97

1350

Loc: ALL CACHES

PG

$2.90

1342

Loc: ALL CACHES

PG

$2.92

1346

Loc: ALL CACHES

PG

$3.18

1347

Loc: ALL CACHES

PG

$3.01

2633

Loc: GBK

PG

$18.35

2009 NFES Catalog Part 1: Fire Supplies and Equipment

Alphabetical Forms

163

FORMS LISTED ALPHABETICALLY

NFES# 0400 1334 1341 2099

Form Title

Statement of Witness, SF-94 (2/83) Std Pk: 100/PG 7540-00-634-4045/GSA Status Change, ICS-210 (6/83) Std Pk: 50/PD Support Vehicle Inventory, ICS-218 (8/78) Std Pk: 100/PG Tag, Accountable Property Transfer, white, ICS 219-9A (10/88) Std Pk: 100/PG Tag, Warning, FS-6400-17 Std Pk: 50/PG Telephone Call Register, AD-102 Std Pk: 50/PD

Stocking Location

Loc: ALL CACHES Loc: ALL CACHES Loc: ALL CACHES Loc: ALL CACHES

U/I

PG PD PG PG

Cost

$2.08 $1.32 $3.59 $2.17

0725 0816 1272

Loc: NRK, RMK, PFK, NWK, SAK, NEK, GBK Loc: ALL CACHES

EA PD

$ .07 $ .77

Training Course Completion Certificate, Loc: GBK PG $3.26 PMS 921-1 (2007) Std Pk: 100/PG Remarks: Per the NWCG Training Working Team, only NWCG member agencies may use this certificate. For clarification, refer to the NWCG Field Manager's Course Guide at www.nwcg.gov/pms/training/training.htm Unit Log, ICS-214 (5/80) Std Pk: 100/PG Loc: ALL CACHES PG BK $5.90 $10.40

1337 1173

Vehicle/Heavy Equipment Safety Inspection Loc: ALL CACHES Checklist, OF-296 (4/00) Std Pk: 50 /BK 7540-01-120-0607/GSA

164

Alphabetical Forms

2009 NFES Catalog Part 1: Fire Supplies and Equipment

NUMERICAL FORMS INDEX

NFES #

0086 0211 0370 0399 0400 0406 0409 0411 0420 0422 0450 0530 0725 0816 0822 0862 0863 0864 0866 0872 0878 0891 0924 0936 1054 1058 1061 1064 1078 1088 1098 1099 1132 1159 1173 1178 1179 1182 1185 1251 1272 1286 1300 1325 1326 1327 1328 1330 1331 1332 1334 1335 1336 1337 1338

Description and Unit of Issue

I/A Heli Pass/Cargo Manifest OF252 PD Helicopter Power Check, OAS87 PD Radio Station Log, BLM 9120-1 PD Operator's Report of MV Accident, SF91 PG Statement of Witness, SF94 PG Aircraft Use Report, OAS23 PD How to Help the Inj Emp OPM#14/SS-100 EA Comm. Accountability Record, OF284 PD Emergency Equip. Fuel/Oil Issue, OF304 PD Emergency Equip Rental Use Env OF305 PG Manual, First Aid, AMA BK Helicopter Hand Signals EA Tag, Warning, FS-6400-17 EA Telephone Call Register, AD102 PD I/A Mob. Food Svc Perf / Eval, 1276-E PD Emerg Equip Rental Agreement, OF294 PG Emergency Equip Use Invoice, OF286 PG Commissary Issue Record, OF287 PG Emerg Firefighter Time Report, OF288 PG Emergency Equip Shift Ticket, OF297 PD Flight Use Report, FS 6500-122 BK Crew Time Report, SF261 BK Health Ins Claim, HCFA1500 w/OWCP-1500 PG Claim For Damage, Injury, or Death, SF95 PG Claim/Damage, AD-382 PG Employee Eligibility Verification, I-9 PG Fire Weather Spec Forecast Request, D1 PG I/A Heli Load Calc, AMD-67/FS5700-17 PD Emp Claim Loss/Dam Pers Prop., DI570 PG Aircraft Contract Daily Diary, OAS -137 PD Incident Injury Case File Envelope OF313 PG Incident Claims Case File Envelope OF314 PG Helicopter Passenger Briefing, OAS84 PG Mob Fire Weather Obs Record, OF251 PD Vehicle/Heavy Equip Insp Checklist, OF296 PD Rel Humidity & Dew Point Table, B-O-6A EA Rel Humidity & Dew Point Table, B-O-6B EA Rel Humidity & Dew Point Table, B-O-6C EA Rel Humidity & Dew Point Table, B-O-6D EA Inc Demob Vehicle Safety Insp, ICS212 PG Training Course Completion Cert PMS921-1 PG Inc Replacement Req, Cont., OF315A PG Incident Replacement Requisition OF315 PG Incident Briefing, ICS201 PG Incident Objectives, ICS202 PG Organization Assignment List, ICS203 PG Assignment List, ICS204 PG Incident Radio Comm. Plan, ICS205 PG Medical Plan, ICS206 PG Organization Chart, ICS207 PG Status Change, ICS210 PD Check-In List, ICS211 PG General Message, ICS213 PG Unit Log, ICS214 PG Ops Planning Worksheet, ICS215 PG

Stocking Locations

ALL CACHES

Page #

160 158 ALL CACHES 161 ALL CACHES 161 ALL CACHES 164 ALL CACHES 157 RMK, SFK, CA, SAK, GBK 158 NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK 157 ALL CACHES 157 ALL CACHES 158 GBK 160 RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK 158 ALL CACHES 164 ALL CACHES 164 NRK, SFK, CA, NWK, SAK, NEK, GBK 160 ALL CACHES 157 ALL CACHES 158 NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK, AKK 157 ALL CACHES 158 ALL CACHES 158 ALL CACHES 158 ALL CACHES 157 ALL CACHES 158 NRK, RMK, SFK, CA, NWK, SAK, NEK, GBK, AKK 157 ALL CACHES 157 ALL CACHES 158 ALL CACHES 158 ALL CACHES 159 NRK, RMK, SFK, GBK, AKK 158 NRK, PFK, GBK 157 NRK, GBK 159 NRK, GBK 159 GBK 158 NRK, PFK, SFK, NWK, SAK, NEK, GBK, AKK 160 ALL CACHES 164 NRK, SFK, NWK, NEK, GBK 161 NRK, SFK, NWK, NEK, GBK 161 NRK, SFK, NWK, NEK, GBK 161 NRK, SFK, NWK, NEK, GBK 161 GBK 159 GBK 164 NRK, RMK, PFK, SFK, CA, NWK, GBK 159 NRK, RMK, PFK, SFK, CA, NWK, GBK 159 ALL CACHES 159 ALL CACHES 159 ALL CACHES 161 ALL CACHES 157 ALL CACHES 159 ALL CACHES 160 ALL CACHES 161 ALL CACHES 164 ALL CACHES 157 ALL CACHES 158 ALL CACHES 164 ALL CACHES 161

RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK

2009 NFES Catalog Part 1: Fire Supplies and Equipment

Numerical Forms Index

153

NUMERICAL FORMS INDEX

NFES #

1339 1340 1341 1342 1344 1345 1346 1347 1348 1349 1350 1351 1353 1367 1374 1399 1470 1471 1472 1473 1482 1509 1528 1576 1577 1591 1646 2052 2053 2054 2055 2056 2074 2098 2099 2153 2154 2155 2200 2201 2202 2203 2204 2205 2206 2207 2208 2209 2211 2212 2213 2214 2215 2216

Description and Unit of Issue

Radio Requirements Worksheet, ICS216 Radio Frequency Assignment, ICS217 Support Vehicle Inventory, ICS218 Resource Stat Card, Header, ICS219-1 Resource Stat Card, Crew, ICS219-2 Resource Stat Card, Engines, ICS219-3 Res Stat Card, Helicopter, ICS219-4 Res Stat Card, Personnel, ICS219-5 Res Stat Card, Aircraft, ICS219-6 Resource Stat Card, Dozers, ICS219-7 Res Stat Card, Equip/Task ICS219-8 Air Operations Summary, ICS220 Demobilization Checkout, ICS221 Organization Chart, ICS207-WS Ops Planning Worksheet, ICS215-WS Five Steps to a Safe Flight, FS5700-16 Res Order, ICS260-1 (4-part) Res Order, Cont., ICS260-2 (4-part) I/A Incident Waybill, OF316 I/A Incident Waybill, Cont., OF316A CPS, Contractor Performance Report Eval Check In List, Booklet, ICS211-BS ICS Qualification Card PMS301-3 Incident Personnel Rating, ICS225 Crew Performance Rating, ICS224 Radio Freq Sharing Agrmt, PMS 903-1 Med Forms, Guides & Manuals CD-ROM I/A Mobile Food Meal Order/Inv 1276-A I/A Mobile. Meal Order / Inv Cont., 1276-B I/A Mobile Shower Order/Invoice 1276-C I/A Mobile Shower Order/Inv Cont 1276-D I/A Mobile Shower Facility Eval, 1276-F Individual Performance Rating, ICS226 Resource Stat Card, Acct Prop, ICS219 Tag, Account Prop Transfer, ICS 219-9A Rel Humidity & Dew Point Table, B-O-6G Rel Humidity & Dew Point Table, B-O-6F Rel Humidity & Dew Point Table, B-O-6E Res Order, Aircraft, ICS259-1 Salmon Res Order, Aircraft, Cont., ICS259-2 Res Order, Crew, ICS259-3 - Green Res Order, Crew, Cont., ICS259-4 Res Order, Dozer, ICS259-5 - Yellow Res Order, Dozer, Cont., ICS259-6 Res Order, Engines, ICS259-7 - Pink Res Order, Engines, Cont., ICS259-8 Res Order, Equipment, ICS259-9 - Buff Res Order, Equip, Cont., ICS259-10 Res Order, Helicopter, ICS259-11 - Blue Res Order, Helicopter, Cont., ICS259-12 Res Order, Overhead, ICS259-13 - White Res Order, Overhead, Cont., ICS259-14 Res Order, Supplies, ICS259-15 - Tan Res Order, Supplies, Cont., ICS259-16 PG PG PG PG PG PG PG PG PG PG PG PG PG SH SH PG PG PG PG PG EA BK PG PG PG EA EA PD PD PD PD PD PG PG PG EA EA EA PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG

Stocking Locations

ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES

NRK, RMK, SFK, CA, NWK, NEK, GBK

Page #

161 161 164 163 163 163 163 163 163 163 163 157 157 161 161 158 162 162 160 160 157 157 159 159 157 161 160 160 160 160 160 160 159 163 164 162 161 161 162 162 162 162 162 162 162 162 162 162 162 162 163 163 163 163

ALL CACHES GBK

RMK, PFK, SFK, CA, NWK, SAK, NEK, AKK RMK, PFK, SFK, CA, NWK, SAK, NEK, AKK

NRK, RMK, SFK, CA, NWK, SAK, GBK NRK, RMK, SFK, CA, NWK, SAK, GBK NRK, GBK RMK, PFK, SFK, NWK, SAK, NEK, GBK GBK ALL CACHES ALL CACHES NEK, GBK NRK NRK, SFK, CA, NWK, SAK, NEK, GBK NRK, SFK, CA, NWK, SAK, NEK, GBK NRK, SFK, CA, NWK, SAK, NEK, GBK NRK, SFK, CA, NWK, SAK, NEK, GBK NRK, SFK, CA, NWK, SAK, NEK, GBK ALL CACHES

RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK

ALL CACHES NWK, NEK, GBK NWK, NEK, GBK NRK, NWK, NEK, GBK, AKK

RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK

154

Numerical Forms Index

2009 NFES Catalog Part 1: Fire Supplies and Equipment

NUMERICAL FORMS INDEX

NFES #

2221 2227 2633 2657 2743

Description and Unit of Issue

Incident Safety Analysis (LCES), ICS215A Incident Safety Anal. (LCES), ICS215A-WS SAFENET, PMS 405-2 Aircraft Dispatch NIFC 9400-31 I/A Mob Shower Fac Eval, Cont., 1276-G PG SH PG PD PD

Stocking Locations

NRK, RMK, CA, NWK, NEK, GBK, AKK NRK, RMK, CA, NWK, SAK, NEK, GBK GBK GBK NRK, GBK

Page #

159 159 163 157 160

Please refer to the appendix in this catalog for possible website access to forms, guides or manuals that are not available through the National Fire Equipment System.

2009 NFES Catalog Part 1: Fire Supplies and Equipment

Numerical Forms Index

155

NUMERICAL FORMS INDEX

NFES # Description and Unit of Issue Stocking Locations Page #

156

Numerical Forms Index

2009 NFES Catalog Part 1: Fire Supplies and Equipment

ALPHABETICAL FORMS INDEX

NFES #

2056 2743 2054 2055 0450 1646 1331 1159 1338 1374 0399 1327 1332 1367 1340 1591 1339 0370 1178 1179 1182 1185 2155 2154 2153 1470 1471 2200 2201 2202 2203 2204 2205 2206 2207 2208 2209 2211 2212 2213 2214 2215 2216 2098 1348 1344 1349 1345 1350 1342 1346 1347 2633

Description and Unit of Issue

I/A Mob Shower Facility Eval, 1276-F I/A Mob Shower Fac Eval, Cont., 1276-G I/A Mob Shower Order/Invoice 1276-C I/A Mob Shower Order/Inv Cont 1276-D Manual, First Aid, AMA Med Forms, Guides & Manuals CD-ROM Medical Plan, ICS206 Mob Fire Weather Obs Record, OF251 Ops Planning Worksheet, ICS215 Ops Planning Worksheet, ICS215-WS Operator's Report of MV Accident, SF91 Organization Assignment List, ICS203 Organization Chart, ICS207 Organization Chart, ICS207-WS Radio Frequency Assignment, ICS217 Radio Freq Sharing Agrmt, PMS 903-1 Radio Requirements Worksheet, ICS216 Radio Station Log, BLM 9120-1 Rel Humid & Dew Point Table, B-O-6A Rel Humid & Dew Point Table, B-O-6B Rel Humid & Dew Point Table, B-O-6C Rel Humid & Dew Point Table, B-O-6D Rel Humid & Dew Point Table, B-O-6E Rel Humid & Dew Point Table, B-O-6F Rel Humid & Dew Point Table, B-O-6G Res Order, ICS260-1 (4-part) Res Order, Cont., ICS260-2 (4-part) Res Order, Aircraft, ICS259-1 - Salmon Res Order, Aircraft, Cont., ICS259-2 Res Order, Crew, ICS259-3 - Green Res Order, Crew, Cont., ICS259-4 Res Order, Dozer, ICS259-5 - Yellow Res Order, Dozer, Cont., ICS259-6 Res Order, Engines, ICS259-7 - Pink Res Order, Engines, Cont., ICS259-8 Res Order, Equipment, ICS259-9 - Buff Res Order, Equip, Cont., ICS259-10 Res Order, Helicopter, ICS259-11 - Blue Res Order, Helicopter, Cont., ICS259-12 Res Order, Overhead, ICS259-13 - White Res Order, Overhead, Cont., ICS259-14 Res Order, Supplies, ICS259-15 - Tan Res Order, Supplies, Cont., ICS259-16 Resource Stat Card, Acct Prop, ICS219 Resource Stat Card, Aircraft, ICS219-6 Resource Stat Card, Crew, ICS219-2 Resource Stat Card, Dozers, ICS219-7 Resource Stat Card, Engines, ICS219-3 Res Stat Card, Equip/Task ICS219-8 Resource Stat Card, Header, ICS219-1 Res Stat Card, Helicopter, ICS219-4 Res Stat Card, Personnel, ICS219-5 SAFENET, PMS 405-2 PD PD PD PD BK EA PG PD PG SH PG PG PG SH PG EA PG PD EA EA EA EA EA EA EA PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG PG

Stocking Locations

NRK, SFK, CA, NWK, SAK, NEK, GBK NRK, GBK NRK, SFK, CA, NWK, SAK, NEK, GBK NRK, SFK, CA, NWK, SAK, NEK, GBK GBK NRK ALL CACHES

NRK, PFK, SFK, NWK, SAK, NEK, GBK, AKK

Page #

160 160 160 160 160 160 160 160 161 161 161 161 161 161 161 161 161 161 161 161 161 161 161 161 162 162 162 162 162 162 162 162 162 162 162 162 162 162 162 163 163 163 163 163 163 163 163 163 163 163 163 163 163

ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES

NRK, RMK, SFK, CA, NWK, NEK, GBK

ALL CACHES NEK, GBK ALL CACHES ALL CACHES NRK, SFK, NWK, NEK, GBK NRK, SFK, NWK, NEK, GBK NRK, SFK, NWK, NEK, GBK NRK, SFK, NWK, NEK, GBK NRK, NWK, NEK, GBK, AKK NWK, NEK, GBK NWK, NEK, GBK

RMK, PFK, SFK, CA, NWK, SAK, NEK, AKK RMK, PFK, SFK, CA, NWK, SAK, NEK, AKK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK RMK, PFK, SFK, CA, NWK, SAK, NEK, GBK

ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES GBK

150

Alphabetical Forms Index

2009 NFES Catalog Part 1: Fire Supplies and Equipment

ALPHABETICAL FORMS INDEX

NFES #

0400 1334 1341 2099 0725 0816 1272 1337 1173

Description and Unit of Issue

Statement of Witness, SF94 PG Status Change, ICS210 PD Support Vehicle Inventory, ICS218 PG Tag, Account Prop Transfer, ICS 219-9A PG Tag, Warning, FS-6400-17 EA Telephone Call Register, AD-102 PD Training Course Completion Cert PMS921-1 PG Unit Log, ICS214 PG Vehicle/Heavy Equip Insp Check, OF296 PD

Stocking Locations

ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES ALL CACHES GBK ALL CACHES ALL CACHES

Page #

164 164 164 164 164 164 164 164 164

Please refer to the appendix in this catalog for possible website access to forms, guides or manuals that are not available through the National Fire Equipment System.

2009 NFES Catalog Part 1: Fire Supplies and Equipment

Alphabetical Forms Index

151

ALPHABETICAL FORMS INDEX

NFES # Description and Unit of Issue Stocking Locations Page #

152

Alphabetical Forms Index

2009 NFES Catalog Part 1: Fire Supplies and Equipment

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