When 50% of the National Type 1 IMTs have been committed, the NMAC Group
requires a rationale

for T1 IMT requests in order to properly prioritize assignments.
Additionally, when 50% of the

Area Command teams have been committed, the NMAC group requires the same
rationale for those requests.

Please complete and **fax to** **NICC Manager at 208-387-5414 or 5663.**

+--------------------------------------+-------------------------------+
| **1. Incident Name:**                | **2. Location:**              |
|                                      |                               |
| **Anticipated Duration:**            |                               |
+--------------------------------------+-------------------------------+
| **3. Life Threatened?**              |                               |
|                                      |                               |
| **Evacuations currently taking       |                               |
| place**                              |                               |
|                                      |                               |
| **Advisory evacuations**             |                               |
|                                      |                               |
| **Evacuation plans in place**        |                               |
|                                      |                               |
| **Road, highway, or freeway          |                               |
| closures**                           |                               |
|                                      |                               |
| **Briefly Describe:**                |                               |
+--------------------------------------+-------------------------------+
| **4. Real Property or Resources      |                               |
| Threatened? (such as: structures,    |                               |
| commercial and/or residences,        |                               |
| subdivisions; names of communities   |                               |
| and populations) Briefly Describe:** |                               |
|                                      |                               |
| **Historic significant cultural      |                               |
| resources?**                         |                               |
|                                      |                               |
| **Natural resources such as crops,   |                               |
| grazing, timber, watershed,          |                               |
| etc.....?**                          |                               |
|                                      |                               |
| #                                    |                               |
| # Major power lines, energy sources? |                               |
+--------------------------------------+-------------------------------+
| # 5. Incident Com                    |                               |
| plexity: ( 1 = lowest, 5 = highest)  |                               |
|                                      |                               |
| Social 1 2 3 4 5                     |                               |
|                                      |                               |
| Economic 1 2 3 4 5                   |                               |
|                                      |                               |
| Political 1 2 3 4 5                  |                               |
|                                      |                               |
| Environmental 1 2 3 4 5              |                               |
|                                      |                               |
| Fire Behavior 1 2 3 4 5              |                               |
|                                      |                               |
| Fuels 1 2 3 4 5                      |                               |
|                                      |                               |
| **Comments:**                        |                               |
+--------------------------------------+-------------------------------+
| **6. Other Comments:**               |                               |
+--------------------------------------+-------------------------------+
| **7.**                               |                               |
|                                      |                               |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_         |                               |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                               |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                               |
| \_                                   |                               |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                               |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                               |
|                                      |                               |
| ##                                   |                               |
|  Signature Agency Administrator Date |                               |
|                                      |                               |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_         |                               |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                               |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                               |
| \_                                   |                               |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                               |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |                               |
|                                      |                               |
| ## GMAC concurrence Date             |                               |
+--------------------------------------+-------------------------------+