Wilderness Mechanized Transport/Motorized Equipment Use Authorization Records Emergency Authorization

Authorization Name:

Authorization Type: Emergency

Authorization Date:

Emergency authorization sub-type (see reverse for LOV): Authorizing Official (check one): Chief Minimum Requirement Regional Forester Decision Analysis Completed? Forest Supervisor yes District Ranger no

Requestor (check one): External Requestor Name: internal external

Remarks:

Starting Date: Ending Date:

Actual Use:

Equipment Type Use Category Wilderness Name (see reverse for LOV) (see reverse for LOV)

Recorded By: Work Unit:

Position Title: Date:

Return to:

Rev. May 2010

List of Values for Wilderness Mechanical Transport / Motorized Equipment Use Authorization Record Form Emergency Authorization

Emergency Authorization Sub-Type: Fire Law Enforcement Other Natural Disaster Removal Of Deceased Persons Search and Rescue

Equipment Type: Air compressor Air Tanker All Terrain Vehicle Battery Powered Tool Bicycle Brush cutters Chainsaw Concrete Equipment Fixed Wing Aircraft Float Plane Generator Heavy Equipment Helicopter Leaf blower Mist blower Motorcycle Motorized watercraft Portable Pump Power auger Rock Drill Snow Machines Truck Wheelbarrow Wheeled Litter Winch, Motorized

Use category: No Equipment Used One piece, One day Multiple pieces, One day One piece, Multiple days Multiple pieces, Multiple days

Note: The values listed above for Equipment Types represent the current national standard data set. If you need a value that is missing, please either write it in the appropriate field if you are using a hard-copy form, or include it in the Remarks field if you are using the electronic version. Your Wilderness Data Steward will then request the value be added in Infra-WILD by submitting a BASE ticket in time for the upward reporting in the fall.

Rev. May 2010