DEMOBILIZATION CHECK-OUT (ICS 221)

1. Incident Name: 2. Incident Number: 

3. Planned Release Date/Time: 4. Resource or Personnel Released:

 

5. Order Request Number:

Date: Date Time: HHMM 

6. Resource or Personnel:

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

☐ Supply Unit 

☐ Communications Unit 

☐ Facilities Unit 

☐ Ground Support Unit 

☐ Security Manager 

☐ 

FINANCE/ADMINISTRATION SECTION

Unit/Leader Remarks Name Signature

☐ Time Unit 

☐ 

☐ 

OTHER SECTION/STAFF

Unit/Other Remarks Name Signature

☐ 

☐ 

PLANNING SECTION

Unit/Leader Remarks Name Signature

☐ 

☐ Documentation Leader 

☐ Demobilization Leader 

7. Remarks:

 

8. Travel Information: Room Overnight: ☐ Yes ☐ No

Estimated Time of Departure: Actual Release Date/Time: 

Destination: Estimated Time of Arrival: 

Travel Method: Contact Information While Traveling: 

Manifest: ☐ Yes ☐ No

Number: 

Area/Agency/Region Notified: 

 

9. Reassignment Information: ☐ Yes ☐ No

Incident Name: Incident Number: 

Location: Order Request Number: 

10. Prepared by: Name: Position/Title: Signature: 

ICS 221 Date/Time: Date
ICS 221

Demobilization Check-Out

Purpose. The Demobilization Check-Out (ICS 221) ensures that resources checking out of the incident have completed 

all appropriate incident 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 if designated. The 

Demobilization Unit Leader 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 checked box(es) in Block 6 prior to 

release from the incident.

Distribution. After completion, the ICS 221 is returned to the Demobilization Unit Leader 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.

Notes:

 Members are not released until form is complete when all of the items checked in Block 6 have been signed off.

 If additional pages are needed for any form page, use a blank ICS 221 and repaginate as needed.

Block 

Number Block Title Instructions

1 Incident Name Enter the name assigned to the incident.

2 Incident Number Enter the number assigned to the incident.

3 Planned Release Date/Time Enter the date (month/day/year) and time (using the 24-hour clock) of 

the planned release from the incident.

4 Resource or Personnel 

Released

Enter name of the individual or resource being released. 

5 Order Request Number Enter order request number (or agency demobilization number) of the 

individual or resource being released. 

6 Resource or Personnel

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).

 Unit/Leader/Manager/Other

 Remarks

 Name

 Signature

Resources are not released until the checked 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

 Supply Unit

 Communications Unit

 Facilities Unit

 Ground Support Unit

 Security Manager

The Demobilization Unit Leader 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.
Block 

Number Block Title Instructions

6

(continued)

Finance/Administration 

Section

 Time Unit

The Demobilization Unit Leader 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.

Other Section/Staff

 

The Demobilization Unit Leader 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.

Planning Section

 Documentation Leader

 Demobilization Leader

The Demobilization Unit Leader 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.

7 Remarks Enter any additional information pertaining to demobilization or release 

(e.g., transportation needed, destination, etc.). This section may also 

be used to indicate if a performance rating has been completed as 

required by the discipline or jurisdiction.

8 Travel Information Enter the following travel information:

Room Overnight Use this section to enter whether or not the resource or personnel will 

be staying in a hotel overnight prior to returning home base and/or unit.

Estimated Time of Departure Use this section to enter the resource’s or personnel’s estimated time 

of departure (using the 24-hour clock).

Actual Release Date/Time Use this section to enter the resource’s or personnel’s actual release 

date (month/day/year) and time (using the 24-hour clock).

Destination Use this section to enter the resource’s or personnel’s destination.

Estimated Time of Arrival Use this section to enter the resource’s or personnel’s estimated time 

of arrival (using the 24-hour clock) at the destination.

Travel Method Use this section to enter the resource’s or personnel’s travel method 

(e.g., POV, air, etc.).

Contact Information While 

Traveling

Use this section to enter the resource’s or personnel’s contact 

information while traveling (e.g., cell phone, radio frequency, etc.).

Manifest  Yes  No

Number

Use this section to enter whether or not the resource or personnel has 

a manifest. If they do, indicate the manifest number.

Area/Agency/Region Notified Use this section to enter the area, agency, and/or region that was 

notified of the resource’s travel. List the name (first initial and last 

name) of the individual notified and the date (month/day/year) he or 

she was notified.

9 Reassignment Information

 Yes  No

Enter whether or not the resource or personnel was reassigned to 

another incident. If the resource or personnel was reassigned, 

complete the section below.

Incident Name Use this section to enter the name of the new incident to which the 

resource was reassigned.

Incident Number Use this section to enter the number of the new incident to which the 

resource was reassigned.

Location Use this section to enter the location (city and State) of the new 

incident to which the resource was reassigned.

Order Request Number Use this section to enter the new order request number assigned to 

the resource or personnel.
Block 

Number Block Title Instructions

10 Prepared by

 Name

 Position/Title

 Signature

 Date/Time

Enter the name, ICS position, and signature of the person preparing 

the form. Enter date (month/day/year) and time prepared (using the 

24-hour clock).