ŠĻą”±į>ž’ npž’’’klm’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’ģ„ĮM šæė6bjbjā=ā= )€W€Wė2’’’’’’lHHHHHHH\bgbgbgbgvgD\œ2ĘnĘnĘnĘnĘnĘnĘnĘn™›››››››››››››$L lŸ¦æ›HĘnĘnĘnĘnĘnæ›PoHHĘnĘnŌ›PoPoPoĘnHĘnHĘn™›PoĘn™›PoØPoųuqxHH½xĘnŗn ŠØ“YzĒ\fbgÜn:‰x½xÜ"ź›0œ‘x, o: ½xPo\\HHHHŁ1) These form is used to determine which County personnel are required to have NIMS training in order for the County to be NIMS Compliant 2) These forms will also be used to determine which of the County personnel, that are required to have NIMS training, are in a pay status that will allow the County to be reimbursed for employee hours spent to accomplish this training 3) Further forms will follow that will assess the level of NIMS training that an employee has already accomplished the employee’s future training requirements The number of hours that are required for the future training The pay grade required Weather the pay will be straight time or overtime Sheriff’s Department On the following pages you will find a form for each of the categories listed to the left. Fill out only those pages in which the categories pertain to your department (for example the Sheriff’s department is unlikely to have any personnel involved in Health Care or Public Works. However, the Sheriff’s department personnel are involved in the Law Enforcement and Public Safety Communications category, so they would fill out those pages that deal with Law Enforcement and Public Safety Communications).Emergency ManagementEmergency Medical ServicesFire ServiceHazardous MaterialsGovernmental AdministrativeHealth CareLaw EnforcementPublic HealthPublic Safety CommunicationsPublics Works CATEGORY: Emergency ManagementNamePosition HeldSELECT ONE 1) Salaried (S) 2) Hourly (H) 3) Volunteer (V)SELECT ONEEmergency ResponderFirst-Line SupervisorMid-level Response SupervisorsSenior-level Response ManagersGovernment OfficialsFirst Line Supervisors include first responder level Personnel who are likely to assume a supervisory position within ICS, single resource leaders, field supervisors and other emergency management/response personnelMiddle management to include strike team leaders, task force leaders, unit leaders, division/group supervisors, branch directors and multi-agency coordination system/emergency operations center staffCommand and General Staff to include select department heads with multi-agency coordination system responsibilities, area commanders, emergency managers and multi-agency coordination system/emergency operations center managers CATEGORY: Emergency Medical ServicesNamePosition HeldSELECT ONE 1) Salaried (S) 2) Hourly (H) 3) Volunteer (V)SELECT ONEEmergency ResponderFirst-Line SupervisorMid-level Response SupervisorsSenior-level Response ManagersGovernment OfficialsFirst Line Supervisors include first responder level Personnel who are likely to assume a supervisory position within ICS, single resource leaders, field supervisors and other emergency management/response personnelMiddle management to include strike team leaders, task force leaders, unit leaders, division/group supervisors, branch directors and multi-agency coordination system/emergency operations center staffCommand and General Staff to include select department heads with multi-agency coordination system responsibilities, area commanders, emergency managers and multi-agency coordination system/emergency operations center managers CATEGORY: Fire ServiceNamePosition HeldSELECT ONE 1) Salaried (S) 2) Hourly (H) 3) Volunteer (V)SELECT ONEEmergency ResponderFirst-Line SupervisorMid-level Response SupervisorsSenior-level Response ManagersGovernment OfficialsFirst Line Supervisors include first responder level Personnel who are likely to assume a supervisory position within ICS, single resource leaders, field supervisors and other emergency management/response personnelMiddle management to include strike team leaders, task force leaders, unit leaders, division/group supervisors, branch directors and multi-agency coordination system/emergency operations center staffCommand and General Staff to include select department heads with multi-agency coordination system responsibilities, area commanders, emergency managers and multi-agency coordination system/emergency operations center managers CATEGORY: Hazardous MaterialsNamePosition HeldSELECT ONE 1) Salaried (S) 2) Hourly (H) 3) Volunteer (V)SELECT ONEEmergency ResponderFirst-Line SupervisorMid-level Response SupervisorsSenior-level Response ManagersGovernment OfficialsFirst Line Supervisors include first responder level Personnel who are likely to assume a supervisory position within ICS, single resource leaders, field supervisors and other emergency management/response personnelMiddle management to include strike team leaders, task force leaders, unit leaders, division/group supervisors, branch directors and multi-agency coordination system/emergency operations center staffCommand and General Staff to include select department heads with multi-agency coordination system responsibilities, area commanders, emergency managers and multi-agency coordination system/emergency operations center managers CATEGORY: Governmental AdministrationNamePosition HeldSELECT ONE 1) Salaried (S) 2) Hourly (H) 3) Volunteer (V)SELECT ONEEmergency ResponderFirst-Line SupervisorMid-level Response SupervisorsSenior-level Response ManagersGovernment OfficialsFirst Line Supervisors include first responder level Personnel who are likely to assume a supervisory position within ICS, single resource leaders, field supervisors and other emergency management/response personnelMiddle management to include strike team leaders, task force leaders, unit leaders, division/group supervisors, branch directors and multi-agency coordination system/emergency operations center staffCommand and General Staff to include select department heads with multi-agency coordination system responsibilities, area commanders, emergency managers and multi-agency coordination system/emergency operations center managers CATEGORY: Health CareNamePosition HeldSELECT ONE 1) Salaried (S) 2) Hourly (H) 3) Volunteer (V)SELECT ONEEmergency ResponderFirst-Line SupervisorMid-level Response SupervisorsSenior-level Response ManagersGovernment OfficialsFirst Line Supervisors include first responder level Personnel who are likely to assume a supervisory position within ICS, single resource leaders, field supervisors and other emergency management/response personnelMiddle management to include strike team leaders, task force leaders, unit leaders, division/group supervisors, branch directors and multi-agency coordination system/emergency operations center staffCommand and General Staff to include select department heads with multi-agency coordination system responsibilities, area commanders, emergency managers and multi-agency coordination system/emergency operations center managers CATEGORY: Law EnforcementNamePosition HeldSELECT ONE 1) Salaried (S) 2) Hourly (H) 3) Volunteer (V)SELECT ONEEmergency ResponderFirst-Line SupervisorMid-level Response SupervisorsSenior-level Response ManagersGovernment OfficialsFirst Line Supervisors include first responder level Personnel who are likely to assume a supervisory position within ICS, single resource leaders, field supervisors and other emergency management/response personnelMiddle management to include strike team leaders, task force leaders, unit leaders, division/group supervisors, branch directors and multi-agency coordination system/emergency operations center staffCommand and General Staff to include select department heads with multi-agency coordination system responsibilities, area commanders, emergency managers and multi-agency coordination system/emergency operations center managers CATEGORY: Law Enforcement, continuedNamePosition HeldSELECT ONE 1) Salaried (S) 2) Hourly (H) 3) Volunteer (V)SELECT ONEEmergency ResponderFirst-Line SupervisorMid-level Response SupervisorsSenior-level Response ManagersGovernment OfficialsFirst Line Supervisors include first responder level Personnel who are likely to assume a supervisory position within ICS, single resource leaders, field supervisors and other emergency management/response personnelMiddle management to include strike team leaders, task force leaders, unit leaders, division/group supervisors, branch directors and multi-agency coordination system/emergency operations center staffCommand and General Staff to include select department heads with multi-agency coordination system responsibilities, area commanders, emergency managers and multi-agency coordination system/emergency operations center managers CATEGORY: Law Enforcement, continuedNamePosition HeldSELECT ONE 1) Salaried (S) 2) Hourly (H) 3) Volunteer (V)SELECT ONEEmergency ResponderFirst-Line SupervisorMid-level Response SupervisorsSenior-level Response ManagersGovernment OfficialsFirst Line Supervisors include first responder level Personnel who are likely to assume a supervisory position within ICS, single resource leaders, field supervisors and other emergency management/response personnelMiddle management to include strike team leaders, task force leaders, unit leaders, division/group supervisors, branch directors and multi-agency coordination system/emergency operations center staffCommand and General Staff to include select department heads with multi-agency coordination system responsibilities, area commanders, emergency managers and multi-agency coordination system/emergency operations center managers CATEGORY: Public Health NamePosition HeldSELECT ONE 1) Salaried (S) 2) Hourly (H) 3) Volunteer (V)SELECT ONEEmergency ResponderFirst-Line SupervisorMid-level Response SupervisorsSenior-level Response ManagersGovernment OfficialsFirst Line Supervisors include first responder level Personnel who are likely to assume a supervisory position within ICS, single resource leaders, field supervisors and other emergency management/response personnelMiddle management to include strike team leaders, task force leaders, unit leaders, division/group supervisors, branch directors and multi-agency coordination system/emergency operations center staffCommand and General Staff to include select department heads with multi-agency coordination system responsibilities, area commanders, emergency managers and multi-agency coordination system/emergency operations center managers CATEGORY: Public Safety Communications NamePosition HeldSELECT ONE 1) Salaried (S) 2) Hourly (H) 3) Volunteer (V)SELECT ONEEmergency ResponderFirst-Line SupervisorMid-level Response SupervisorsSenior-level Response ManagersGovernment OfficialsFirst Line Supervisors include first responder level Personnel who are likely to assume a supervisory position within ICS, single resource leaders, field supervisors and other emergency management/response personnelMiddle management to include strike team leaders, task force leaders, unit leaders, division/group supervisors, branch directors and multi-agency coordination system/emergency operations center staffCommand and General Staff to include select department heads with multi-agency coordination system responsibilities, area commanders, emergency managers and multi-agency coordination system/emergency operations center managers CATEGORY: Public Works NamePosition HeldSELECT ONE 1) Salaried (S) 2) Hourly (H) 3) Volunteer (V)SELECT ONEEmergency ResponderFirst-Line SupervisorMid-level Response SupervisorsSenior-level Response ManagersGovernment OfficialsFirst Line Supervisors include first responder level Personnel who are likely to assume a supervisory position within ICS, single resource leaders, field supervisors and other emergency management/response personnelMiddle management to include strike team leaders, task force leaders, unit leaders, division/group supervisors, branch directors and multi-agency coordination system/emergency operations center staffCommand and General Staff to include select department heads with multi-agency coordination system responsibilities, area commanders, emergency managers and multi-agency coordination system/emergency operations center managers ¤µš ® Ļ ż Ķ Ī ä ¦ · Q b |  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’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laöŸ   ” ¢ £ ¤ „ łłłłłł$If„ ¦ § Ø #$$IfŪ$$If–lÖÖ“”’ō Ģ Ą!(h.4Ø9` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laöØ © Ŗ « ¬ ­ ® łłłłłł$If® Æ ° ± #$$IfŪ$$If–lÖÖ“”’ō Ģ Ą!(h.4Ø9` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laö± ² ³ “ µ ¶ · łłłłłł$If· ø ¹ ŗ #$$IfŪ$$If–lÖÖ“”’ō Ģ Ą!(h.4Ø9` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laöŗ » ¼ ½ ¾ æ Ą łłłłłł$IfĄ Į Ā Ć #$$IfŪ$$If–lÖÖ“”’ō Ģ Ą!(h.4Ø9` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laöĆ Ä Å Ę Ē Č É łłłłłł$IfÉ Ź Ė Ģ #$ $IfŪ$$If–lÖÖ“”’ō Ģ Ą!(h.4Ø9` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laöĢ Ķ Ī ¦ n Q R łłłłłł$IfR S T V #!!Ū$$If–lÖÖ“”’ō Ģ Ą!(h.4Ø9` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laöV a b } ~  „ ’  » Ģ × łółóˆdóó‚óó|$If$Ifk$$If–l4ÖÖ0”’ĢØ98Ü#Ö0’’’’’’ö:Ö’’Ö’’Ö’’Ö’’4Ö laö$If$If × Ų Ł Ś Ū ļ $CXlff`fffff$If$If“$$If–l4Ö”Ö\”’ō Ģ Ø9`` `Ų `TˆÖ0’’’’’’ö:Ö’’’’Ö’’’’Ö’’’’Ö’’’’4Ö laö XYZ $$Ifß$$If–l4Ö”…Ö“”’ō Ģ Ą!(h.4Ø9 ` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laöZ[\]^_`ałłłłłłł$Ifabcd#$$IfŪ$$If–lÖÖ“”’ō Ģ Ą!(h.4Ø9` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laödefghijłłłłłł$Ifjklm#$$IfŪ$$If–lÖÖ“”’ō Ģ Ą!(h.4Ø9` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laömnopqrsłłłłłł$Ifstuv#$$IfŪ$$If–lÖÖ“”’ō Ģ Ą!(h.4Ø9` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laövwxyz{|łłłłłł$If|}~#$$IfŪ$$If–lÖÖ“”’ō Ģ Ą!(h.4Ø9` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laö€‚ƒ„…łłłłłł$If…†‡ˆ#$$IfŪ$$If–lÖÖ“”’ō Ģ Ą!(h.4Ø9` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laöˆ‰Š‹ŒŽłłłłłł$IfŽ‘#$$IfŪ$$If–lÖÖ“”’ō Ģ Ą!(h.4Ø9` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laö‘’“”•–—łłłłłł$If—˜™š#$ $IfŪ$$If–lÖÖ“”’ō Ģ Ą!(h.4Ø9` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’Ö ’’’’’’’’4Ö laöš›œt< łłłłłł$If !#%#!!Ū$$If–lÖÖ“”’ō Ģ Ą!(h.4Ø9` Ų T TT  Ö0’’’’’’ö:Ö ’’’’’’’’Ö ’’’’’’’’Ö 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