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 must be completed, or marked “N/A”.

Basic Data
Date and Time Fire Started
Date and Time Fire Contained
Date and Time Fire Reported
Name of Incident
Allen Anderson Atchison Barber Barton Bourbon Brown Butler Chase Chautauqua Cherokee Cheyenne Clark Clay Cloud Coffey Comanche Cowley Crawford Decatur Dickinson Doniphan Douglas Edwards Elk Ellis Ellsworth Finney Ford Franklin Geary Gove Graham Grant Gray Greeley Greenwood Hamilton Harper Harvey Haskell Hodgeman Jackson Jefferson Jewell Johnson Kearny Kingman Kiowa Labette Lane Leavenworth Lincoln Linn Logan Lyon McPherson Marion Marshall Meade Miami Mitchell Montgomery Morris Morton Nemaha Neosho Ness Norton Osage Osborne Ottawa Pawnee Phillips Pottawatomie Pratt Rawlins Reno Republic Rice Riley Rooks Rush Russell Saline Scott Sedgwick Seward Shawnee Sheridan Sherman Smith Stafford Stanton Stevens Sumner Thomas Trego Wabaunsee Wallace Washington Wichita Wilson Woodson Wyandotte County of Origin
Cause of Fire
Incident Commander
Area (acres) Fuel

Directions to Fire

Township Range Section
Latitude Longitude
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 this fire.


Weather
Temperature
Humidity
N NE E SE S SW W NW Wind Direction
Wind Speed (mph)

Select those that Apply
Wind driven head fire
Torching of Individual trees
Torching of Groups of trees
Fire Jumping Control lines
Other

Resources Needed to Suppress Fire
Engines
Brush Trucks
Tankers
Dozers or Plows
Aircraft
ICS command personnel
Total personnel
Other(s)

List all agencies or departments assisting, start with department responsible for fire, then list mutual aid/assisting agencies


Report Completed by?
Name                

Position         

 Department   

Phone           

E-mail