DEMOBILIZATION

ICS 221
1. INCIDENT/EVENT NAME 2. RESOURCE TO BE RELEASED 3. PLANNED RELEASE DATE AND TIME

4. CLEARANCE: You and your resources are in the process of being released. Resources are not released until the checked boxes
below have been signed off by the appropriate overhead and the Demobilization Unit Leader (or Planning Section representative)

LOGISTICS SECTION
Unit/Manager Remarks Name Signature
Chief
Supply Unit
Communications Unit
Facilities Unit
Ground Support
Security Unit

FINANCE/ADMINISTRATION SECTION
Unit/Manager Remarks Name Signature
Chief
Time Unit

PLANNING SECTION
Unit/Manager Remarks Name Signature
Chief
Resources Unit
Documentation Unit
Demobilization Unit

OPERATIONS SECTION
Unit/Manager Remarks Name Signature
Chief

5. REMARKS 7. TRAVEL INFORMATION

Room overnight: ___ Yes ___ No
Estimated Time of Departure: ___________________
Destination: ___________________
Travel Method: ___________________
6. REASSIGNMENT INFORMATION Manifest: ___ Yes ___ No
For reassignment? ___ Yes ___ No Actual Release Date and Time: ___________________
Name of Incident/Event: ___________________ Contact Details: ___________________
Location: ___________________ Agency/Office Notified: ___________________

8. PREPARED BY:

Name : ________________
Signature : ________________
Position : ________________
Date Prepared : ________________
Time Prepared : ________________
 ICS 221: DEMOBILIZATION CHECK-OUT

Purpose: The ICS 221 ensures that resources checking out of the incident/event have completed
all appropriate business, and provides the Planning Section information on resources released
from the incident. Demobilization is a planned process and this form assists with that planning.

Preparation: The ICS 221 is initiated by the Planning Section, or a Demobilization Unit Leader
(DMOB) if designated. The (DMOB) completes the top portion of the form and checks the
appropriate boxes in Block 6 that may need attention after the Resources Unit Leader has given
written notification that the resource is no longer needed. The individual resource will have the
appropriate overhead personnel sign off on any box (es) in Block 4 prior to release from the
incident/event.

Distribution: After completion, the ICS 221 is returned to the DMOB or the Planning Section. All
completed original forms must be given to the Documentation Unit. Personnel may request to
retain a copy of the ICS 221.

BLOCK NO. BLOCK TITLE INSTRUCTIONS

1 Incident Name Indicate the name assigned to the incident/event
2 Resource to be Enter the name of individual or resource to be released.
Released
3 Planned Release Date Enter the date (mm-dd-yyyy) and time (24 hour format)
and Time of the planned release from the incident.
4 Clearance Resources are not released until the boxes below have
been signed off by the appropriate overhead. Blank
boxes are provided for any additional unit requirements
as needed (e.g., Safety Officer, Agency Representative,
etc.).
Logistics Section The DMOB will enter an "X" in the box to the left of those
Units requiring the resource to check out.
Identified Unit Leaders or other overhead are to sign the
appropriate line to indicate release.
Finance/Administratio The DMOB will enter an "X" in the box to the left of those
n Section Units requiring the resource to check out.
Identified Unit Leaders or other overhead are to sign the
appropriate line to indicate release.
Planning Section Indicate the current and planned actions, strategies and
tactics, forward steps in relation to the objectives. If
additional pages are required, use a blank sheet or
another ICS Form 201 p2
Operations Section Enter complete name, signature, position of the person
who prepared the specific page of the form, date (mm-
dd-yyyy), and time (24hour format) the form was
prepared and completed.
5 Remarks Enter any additional information pertaining to the
demobilization (e.g. transportation requirements). This
block may also be used to indicate if a performance
rating has been completed as required by the discipline.
6 Travel Information Enter the following travel information:
Room Overnight Indicate whether or not the personnel will be staying in a
place overnight (e.g. hotel) prior to returning to home
base
Estimated Time of Enter the estimated time of departure
Departure
Destination Enter the destination
 Travel Method Enter the preferred travel method (e.g., land, air, etc)
Manifest Enter whether or not the resource or personnel has a
manifest. If yes, indicate the manifest number.
Actual Release Date Enter the resources actual release date and time.
and Time
Contact Details Enter the resources or personnels contact details while
traveling
Agency/Office Notified Enter the agency/office that was notified of the travel.
Also indicate the name of the individual notified, as well
as the date and time of notification.
7 Reassignment Enter the following reassignment information.
Information
For reassignment? Indicate whether or not the resource will be transferred
to another incident/event.
Name of Enter the name of the new incident or event.
Incident/Event
Location Indicate the location or address of the new incident or
event.
8 Prepared By Enter complete name, signature, position of the person
who prepared the specific page of the form, date (mm-
dd-yyyy), and time (24 hour format) the form was
prepared and completed.
 DEMOBILIZATION
ICS 221
1. INCIDENT/EVENT NAME 2. RESOURCE TO BE RELEASED 3. PLANNED RELEASE DATE AND TIME
Rizal Earthquake Maine Mendoza 09-22-20xx, 0800H

4. CLEARANCE: You and your resources are in the process of being released. Resources are not released until the checked boxes
below have been signed off by the appropriate overhead and the Demobilization Unit Leader (or Planning Section representative)

LOGISTICS SECTION
Unit/Manager Remarks Name Signature

X Chief Jason Statham Jason

Supply Unit
Communications Unit
Facilities Unit
Ground Support
Security Unit

FINANCE/ADMINISTRATION SECTION
Unit/Manager Remarks Name Signature

X Chief Jet Li Jet

Time Unit

PLANNING SECTION
Unit/Manager Remarks Name Signature

X Chief Jackie Chan Jackie

Resources Unit
Documentation Unit
Demobilization Unit

OPERATIONS SECTION
Unit/Manager Remarks Name Signature
X Chief Vin Diesel Vin

5. REMARKS 7. TRAVEL INFORMATION

6. REASSIGNMENT INFORMATION
For reassignment? _/__ Yes ___ No
Name of Incident/Event: __Mais Festival__
Location: ____Municipality X__________
Room overnight: _/_ Yes ___ No
Estimated Time of Departure: _____0800H__________
Destination: ____Municipality X_________
Travel Method: _____Land_______
Manifest: ___ Yes _/__ No
Actual Release Date and Time: __09-22-20xx, 0800H_____
Contact Details: ____123456_______________
Agency/Office Notified: _____Municipality X DRRMO_______

8. PREPARED BY:

Name : Alden Richards

Signature : Alden
Position : DMOB
Date Prepared : 09-21-20xx
Time Prepared : 1200H