"Resource Extension Request Form" - Arizona

Resource Extension Request Form is a legal document that was released by the Arizona Department of Forestry and Fire Management - a government authority operating within Arizona.

Form Details:

  • The latest edition currently provided by the Arizona Department of Forestry and Fire Management;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Arizona Department of Forestry and Fire Management.

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Resource Extension Request Form
RESOURCE & INCIDENT INFORMATION:
Resource Name:
Request #:
Incident Name:
Incident #:
Position on Incident:
Home Unit Supervisor Name & Email:
Fax #
EXTENSION INFORMATION:
Prior to any extension consider the health, readiness and capability of the resource. The health and safety of incident
personnel and resources will not be compromised under any circumstances.
Length of Extension:
Last Work Day:
Justification (Select from the List Below):
Life and Property are imminently threatened,
Suppression objectives are close to being met.
Replacement resources are unavailable or have not yet arrived
Explanation for IMT Extension:
REQUESTED BY:
Incident IC/Supervisor:
Incident Position:
APPROVED BY:
Resource or Resource supervisor:
1)
Incident Commander or Deputy:
2)
Host GACC:
3)
Home Unit Supervisor:
4)
Arizona Interagency Dispatch Center (AIDC) Home Dispatch Resources: Email Completed Extension Request Form to
for State Resource Duty Officer Approval. AIDC will obtain any additional signatures required.
aidclogistics@dffm.az.gov
Phone: 800-309-7081 Fax 623-445-0289
Arizona State Resource DO or AREP (AZ Dispatch Ctr):
5)
Sending GACC (excluding single-resource Overhead):
6)
NICC (only if National Resource):
7)
Signatures should be gathered in the order they are numbered above. For IMT extensions, only
signature lines 2, 3, 6 and 7 are required.
Resource Extension Request Form
RESOURCE & INCIDENT INFORMATION:
Resource Name:
Request #:
Incident Name:
Incident #:
Position on Incident:
Home Unit Supervisor Name & Email:
Fax #
EXTENSION INFORMATION:
Prior to any extension consider the health, readiness and capability of the resource. The health and safety of incident
personnel and resources will not be compromised under any circumstances.
Length of Extension:
Last Work Day:
Justification (Select from the List Below):
Life and Property are imminently threatened,
Suppression objectives are close to being met.
Replacement resources are unavailable or have not yet arrived
Explanation for IMT Extension:
REQUESTED BY:
Incident IC/Supervisor:
Incident Position:
APPROVED BY:
Resource or Resource supervisor:
1)
Incident Commander or Deputy:
2)
Host GACC:
3)
Home Unit Supervisor:
4)
Arizona Interagency Dispatch Center (AIDC) Home Dispatch Resources: Email Completed Extension Request Form to
for State Resource Duty Officer Approval. AIDC will obtain any additional signatures required.
aidclogistics@dffm.az.gov
Phone: 800-309-7081 Fax 623-445-0289
Arizona State Resource DO or AREP (AZ Dispatch Ctr):
5)
Sending GACC (excluding single-resource Overhead):
6)
NICC (only if National Resource):
7)
Signatures should be gathered in the order they are numbered above. For IMT extensions, only
signature lines 2, 3, 6 and 7 are required.