Incident Qualifications and Certification

Incident Qualifications and (Note: this form is to be Certification used only for updating employee records that are Individual Employee Update already established in the IQCS)

Header Information First Name Employment Kind Last Name (Career, Career Seasonal, Casual Hire, Temporary, Volunteer) Fitness Rating Middle Initial (Arduous, Moderate, Light, None) Employee Number Fitness Date (IQCS #) (MM/DD/YYYY) Group NOT NEEDED UNLESS Org Code (IMT Member and Team name) YOU ARE ON AN IMT IRDP Incident Responder NOT NEEDED AT THIS Unit ID Development Plan TIME (Y/N) Salary plan/Grade OPM Job Code NOT NEEDED (GS, WG,WL, WS, AD, (this can be found on the SF 50) ES, EM)

Incident Qualification Card (only the jobs you want on your incident qualifications card) Qualified Jobs Trainee Jobs Job Code Job Code Job Code Job Code

JOB CODE = Four digit code for the job performed (ex.: FFT2 = Firefighter Type 2)

Training administered within IQCS will automatically be applied to the individual’s record when the course session is completed Employee Training Entry (Documentation Required) Course Code Date Completed (MM/DD/YYYY) Course Code Date Completed (MM/DD/YYYY) EXAMPLE: S190 02/21/04

of 4 EMPLOYEE SIGNATURE DATE

SUPERVISOR DATE

EMPLOYEE WILDLAND AND PRESCRIBED FIRE EXPERIENCE Management Job Type of Incident Type or Fire Size Incident Order # Code Incident Arrival Operational Complexity Fuel Type Class Incident Name (Incident (Event Date Periods Level (See (See (Resource Order) Request # Position) Code) MM/DD/YY State (Shifts) (See Below) Below) Below) (Fire code/ Fire number) (EXAMPLE) NM-SNF-0304 FRED (C-1) WF 07/21/00 NM 19 1 B G FFT1 P3EKU8 (EXAMPLE) CA-SNF-0102 WILD (O-21) WF 08/05/01 CA 2 3 T C DIV(T) P5EKT8 (EXAMPLE) CA-SNF-0102 WILD (O-21) WF 08/08/01 CA 4 3 T C FALC P5EKT8

Fuel Type/ Model # Complexity (select primary ICS Management Types Levels carrier code G-S) Fire Sizes (in acres) A .1 - .25 TYPE A - national area command team assigned TYPE 1 B .26 - 9.9 TYPE 1 - national type 1 team assigned G – Grass/1-3 TYPE 2 C 10 - 99.9 TYPE 2 - regional type 2 team assigned B – Brush/4-7 TYPE 3 D 100 - 299.9 TYPE 3 - extended attack with multiple resources T – Timber/8-10 (For Prescribed E 300 - 999.9 TYPE 4 - initial attack S – slash/11-13 Fires) F 1,000 - 4,999.9 TYPE 5 - initial attack with very few resources G 5,000 +

Instructor Experience Entry Course Code Course Start Date (MM/DD/YY) Instructor Level IQCS Session # (If Applicable) / Course Location (Training Facility Page 2 of 4 L=lead U=unit Name)/Course Coordinator (if known) EXAMPLE: S390 04/01/04 U 0224/WFTC/JOECOORD

of 4 Task Books

Initiated, But Not Completed

Event Code Job Code Initiated Date Example: WF Example: FFT1 Example: MM/DD/YYYY

Initiated And Completed (1 column per Task Book) Job Code, and Initiated Date Job Code, and Initiated Date Job Code, and Initiated Date

Example: WF-FFT1 MM/DD/YYYY

Final Evaluator Final Evaluator Final Evaluator

Example: Last Name, First Name, Middle Initial Title Title Title

Example: Station Manager

Home Unit Home Unit Home Unit

Example: NMNPA, Northern Pueblos Agency Phone Number Phone Number Phone Number

Example: 801-354-5678

Certifier’s IQCS Empl ID (NOT SSN) Certifier’s IQCS Empl ID Certifier’s IQCS Empl ID

Example: This Person Must Be In The IQCS Data Base Title Title Title

Example: District FMO

Home Unit Home Unit Home Unit

Example: ORWSA, Warm Springs Agency Phone Number Phone Number Phone Number

Example: 801-456-9875

Certification Date Certification Date Certification Date

Example: MM/DD/YYYY