Print IMS 213-R

 

 

 

 

IMS Form 213-R

Number

Precedence

Handling

Station of Origin

Check

Place of Origin

Time Filed

Date Filed

 

E   P   R   W

 

 

 

 

 

 

RADIO MESSAGE

1.     Incident Name

2.     Operational Period

 

 

3.     To: (Name and Position)  

 

4.     From:  (Name and Position)

 

5.     Subject

6.     Date/Time Prepared

 

 

7.     Message

 

8.     Name/Signature of Sender

9.     Position/Contact Info of Sender

10.  Date/Time Sent

 

 

 

Received From

Date

Time

Sent To

Date

Time

 

 

 

 

 

 

 

Number

Precedence

Handling

Station of Origin

Check

Place of Origin

Time Filed

Date Filed

 

E   P   R   W

 

 

 

 

 

 

11.  Reply

 

 

 

 

 

 

12.  Date/Time Received from Sender

 

13.  Name/Signature of Replier

14.  Position of Replier

15.  Date/Time of Reply

 

 

 

Received From

Date

Time

Sent To

Date

Time

 

 

 

 

 

 


 

ABOUT ( IMS 213 -  Radio Message)

Purpose: 

This form is most commonly used to send information via radio, when other more common communications channels are unavailable or busy. ARES or EmComm operators will transmit the message exactly as written.  These messages should never contain sensitive information, as the use of codes or ciphers is against federal regulations. 

Preparation: 

The Radio Message form (paper or electronic copy) may by initiated by incident dispatchers or any incident personnel.  Brevity is important.  Aim for a maximum of forty words per message.

Distribution:

Upon completion, the Radio Message should be hand carried to the ARES / EmComm radio operator for transmission.  It will be sent out in priority sequence, with logging information written into the shaded area.  The radio operator will keep the written copy for logging purposes. 

 

INSTRUCTIONS ( IMS 213 -  Radio Message)

Item #

Item Title

Instructions

1.      

 

Do not fill in the shaded areas of the form.  These are reserved for the radio operator.

2.      

Precedence

Circle one of the selections

E Emergency (life and death importance only)

P Priority  (official messages affecting operations)

R Routine messages

W Welfare messages (Red Cross Disaster Inquiry type)

3.      

Incident Name

Print the name assigned to the incident.

4.      

Operational Period

Enter the time interval for which the form applies.  Record the start time and the end time with dates.

5.      

To

Enter the name, position and address (if applicable) of the message recipient(s).

6.      

From

Enter the name, position and address (if applicable) of the message sender.

7.      

Subject

Enter general subject matter as applicable.

8.      

Date/Time Prepared

Enter the date prepared (YYYY/MM/DD), and time (24hr clock).  All times are local time zone. 

9.      

Message

Enter a brief and concise message.

10.   

Name/Signature of Sender

Enter the name and signature of the sender.

11.   

Position/Contact Info of Sender

Enter the position and contact information of the sender.

12.   

Date/Time Sent

Enter the date sent (YYYY/MM/DD), and time (24hr clock).

13.   

Reply

This section is intended for the recipient to reply.

14.   

Date/Time Received from Sender

Enter date (YYYY/MM/DD) and time (24hr clock) the message was received form the sender.

15.   

Name/Signature of Replier

Enter the name and signature of the person replying.

16.   

Position of Replier

Enter the position of the person replying.

17.   

Date/Time of Reply

Enter date (YYYY/MM/DD) and time (24hr clock) of reply.