1. Incident Name (Optional):

THOR

2. To (Name and Position):

RADIO OPERATOR

3. From (Name and Position):

JOHN KM6TKJ  NET CONTROL

4. Subject:

RESOURCE REQUEST (equipment)

 5. Date:

2025-01-23

6. Time:

19:32

7. Message:

Your hospital service level is now ORANGE. Please fill out a resource request with the following items needed by the emergency department:

                                                                                  QTY:

EMERGENCY SUCTION MACHINE                        5

PULSE OXIMETER                                                 40

WHEELCHAIR                                                         10

These items will be needed for a period of one month

Please beacon your ORANGE hospital service level          

8. Approved by:

   Name:

Susan Beltran

   Signature:

626 555-7876

   Position/Title:

Emergency Dept. Administrator

9. Reply:

10. Replied by:

   Name:

   Position/Title:

   Signature:

   Date/Time:

ICS 213 (0.1.1)