Kansas Abbreviated ICS 209 Form
Complete and Submit this form within 24 hours for any fully contained/extinguished wildfire over 100 acres in timber, or 300 acres in grass. If the incident is ongoing, or other than a wildfire, use a standard 209 form. All boxes should be completed or marked "N/A".
         
Basic Data        
  Date Time  
Fire Started:  
Fire Contained:  
Fire Reported:  
       
Name of Incident:
County of Origin:    
Cause of Fire:
Incident Commander:
Area (acres): Fuel:    
Directions to Fire:
Legal Description (i.e. Township 9S, Range 8E, Section 12)
Township Number: Range: Section:  
Coordinates (when available)    
Latitude: Longitude:  
 
Injuries / Damage    
Injuries: Fatalities:
Homes Damaged: Homes Destroyed:
Businesses Damaged: Businesses Destroyed:
Outbuildings Damaged: Outbuildings Destroyed:
Describe any problems, challenges, or unique events - evacuations, road closures, property threatened, or other unique aspects of the fire.
     
Weather and Fire Behavior    
Temperature (F°): Humidity:
Wind Direction: Wind Speed (mph):
Select all that apply:    
Other (describe):
     
Resources Required to Suppress Fire (Totals)
Engines: Brush Trucks:
Tankers: Dozers/Plows:
Aircraft:      
ICS Command Personnel:      
Total Personnel:      
Other Resource(s):
     
List all agencies or departments assisting, start with department responsible for fire, then list mutual aid/assisting agencies.
     
Report Completed By:
**All Fields Are Required**  
Name:
Position:
Department:
Phone:
Email: