FEMA ICS FORM 202 INCIDENT OBJECTIVES 1. FEMA Disaster Number: FEMA-4363-DR-IN 4. Operational Period: 05/19/2018 0700 EDT to 05/22/2018 0700 EDT 5. General objectives for the Incident: 2. /Time Prepared: 1600 EDT Objective Description Number 1 a Conduct outreach to the whole of community leaders to share FEMA program information and address concerns. 3 Conduct Access, Inform, Report (AIR) missions in Branch I and II. 9 Register all survivors affected by the disaster. 4 Conduct FEMA Inspections to determine program eligibility. 10 Provide FEMA program information and survivor case updates 11 Identify and address survivor unmet needs 7 Identify/establish Long-Term Recovery Committees in designated counties. 8 Schedule and conduct Applicant Briefings. 12 Conduct Floodplain Management Technical Assistance visits to identified communities. 6. Weather Forecast for Period (Only if significant to Operations) Northern Indiana Saturday: A chance of showers, with thunderstorms also possible after 2pm. Cloudy, with a high near 73. Southeast wind around 5 mph becoming west in the afternoon. Chance of precipitation is 40%. Sunday: A Marginal Risk of severe thunderstorms is forecasted for most of Indiana. A 40 percent chance of showers and thunderstorms after 2pm. Mostly cloudy, with a high near 77. East wind around 5 mph. Monday:A 30 percent chance of showers. Mostly cloudy, with a high near 75. Southern Indiana Saturday: A chance of showers, with thunderstorms also possible after 8am. Partly sunny, with a high near 83. Chance of precipitation is 40%. Sunday: A Marginal Risk of severe thunderstorms is forecasted for most of Indiana. Scattered showers and thunderstorms, mainly after 2pm. Patchy fog before 9am. Otherwise, mostly cloudy, with a high near 79. Monday: A 50 percent chance of showers and thunderstorms. Mostly cloudy, with a high near 80. 7. General/Safety Message Vehicle Accident Reporting Vehicle accidents should be reported to the supervisor and the safety officer as soon as it is possible to do so. Seek medical attention if required and contact the police department as well, even if no injury has occurred. If possible, at the accident scene, ensure that pertinent information is gathered and photos are taken, especially if another driver is involved. The safety officer will assist with completion of the necessary forms for reporting the accident and sending to Tort Claims in Washington, DC. Always drive in a safe, defensive manner, especially if you are new to Indiana or the city you are working in. 8. Attachments (mark if attached) Assignment Lists - ICS 204 Organization Chart - ICS 207 Radio Communications Plan - ICS 205 Air Operations Summary - ICS 220 Telephone Communications Plan - ICS 205 A Meeting Schedule - ICS 230
Medical Plan - ICS 206 Incident Map 9. Prepared by: Edward Diaz Planning Support Specialist /Time: 1600 EDT 10. Reviewed By: Scott Hutchins Planning Section Chief /Time: 1600 EDT
FEMA ICS Form 205A Incident Telephone Communication Plan FEMA Disaster Number: FEMA-4363-DR-IN 2. Operational Period: 05/19/2018 0700 EDT to 05/22/2018 0700 EDT 3. Contact List Incident Facilities/Contacts Incident Facilities Facility Operational Hours Phone Number Joint Field Office, 3077 East 98th Street, Indianapolis, IN 46280 USNG: 16S EK 76072 20449 Branch I Office, Branch Office, 1222 S. Michigan St., South Bend, Indiana 46601 USNG: 16T EM 62444 12421 Branch II Office, Branch Office, 2524 Corydon Pike, Suite 101, New Albany, Indiana 47150 USNG: 16S EH 99663 37558 DRC 1,, 608 Oakland Ave, Elkhart, IN 46516-2116 USNG: 16T EM 84490 14472 DRC 2, DRC, 534 N. Michigan Street, South Bend, IN 46601 USNG: 16T EM 62385 14845 DRC 3, DRC, 107 N. 4th Street, Utica,, Utica, IN 47130 USNG: 16S FH 17758 43984 Monday: 0700-1730 Tuesday: 0700-1730 Wednesday: 0700-1730 Thursday: 0700-1730 Friday: 0700-1730 Saturday: 0700-1730 Sunday: Closed Monday: 0700-1730 Tuesday: 0700-1730 Wednesday: 0700-1730 Thursday: 0700-1730 Friday: 0700-1730 Saturday: 0700-1730 Sunday: Closed Monday: 0700-1730 Tuesday: 0700-1730 Wednesday: 0700-1730 Thursday: 0700-1730 Friday: 0700-1730 Saturday: 0700-1730 Sunday: Closed Monday: 0900-1900 Tuesday: 0900-1900 Wednesday: 0900-1900 Thursday: 0900-1900 Friday: 0900-1900 Saturday: 0900-1900 Sunday: 0900-1900 Monday: 0900-1900 Tuesday: 0900-1900 Wednesday: 0900-1900 Thursday: 0900-1900 Friday: 0900-1900 Saturday: 0900-1900 Sunday: 0900-1900 Monday: 0900-1900 Tuesday: 0900-1900 Wednesday: 0900-1900 Thursday: 0900-1900 Friday: 0900-1900 Saturday: 0900-1900 Sunday: 0900-1900 N/A (F) Vince Parisi Phone: 312-497-5422 (F) TD Kennard Phone: 202-702-7439 (F) Claudette Coyle Phone: 520-403-9518 (F) Theresa Winstead Phone: 732-804-9244 (F) Jan Salinas Phone: 337-534-9098 Additional Info N/A St. Joseph County EOC Floyd County Emergency Management Pine View Government N/A N/A N/A
Roving DRC 4, DRC, 2460 Vermillion Street, Lake Station, IN 46405 USNG: 16T DM 80893 02348 Monday: 0900-1900 Tuesday: 0900-1900 Wednesday: 0900-1900 Thursday: 0900-1900 Friday: 0900-1900 Saturday: 0900-1900 Sunday: 0900-1900 (F) Paul Buffington Phone: 603-608-6222 N/A Roving DRC 5, DRC, 245 Atwood Street, Corydon, IN 47112 USNG: 16S EH 76833 28971 Monday: 0900-1900 Tuesday: 0900-1900 Wednesday: 0900-1900 Thursday: 0900-1900 Friday: 0900-1900 Saturday: 0900-1900 Sunday: 0900-1900 (F) William Penrod Fax: 303-330-6874 N/A Command Position S t a t e T r i b e F E M A O F A Name Phone Work Email Coordinating Officer X Erin Rowe N/A ERowe@dhs.IN.gov Deputy Coordinating Officer X Mary Moran N/A MMoran@dhs.IN.gov Coordinating Officer X David Samaniego N/A david.samaniego@fema.dhs.gov Interagency Recovery Coordination Position S t a t e T r i b e F E M A O F A Name Phone Work Email Command Staff Position S t a t e T r i b e F E M A O F A Name Phone Work Email Chief Of Staff X Peter Raiswell 301-542-4852 Peter.Raiswell@fema.dhs.gov Executive Assistant X Danice Wolfe 202-826-3175 danice.wolfe@fema.dhs.gov Legal Advisor X Lisa Baughman 202-710-6263 lisa.baughman@fema.dhs.gov Safety Officer X Loretta Valentine 301-256-1601 loretta.valentine@fema.dhs.gov Security Manager X Larry Burkert 202-701-0419 larry.burkert@fema.dhs.gov Disability Integration Advisor X Benita Dallas 202-733-8946 benita.dallas@fema.dhs.gov Environmental and Historic Preservation Advisor X Nicholas Dorochoff 312-953-4572 nicholas.dorochoff@fema.dhs.gov SBA Public Information Officer X Matthew Young 404-909-0662 matthew.young@sba.gov External Affairs Officer X David Hosick 463-202-4063 DHosick@dhs.IN.gov External Affairs Officer X Sandy Jasmund 312-213-5291 sandy.jasmund@fema.dhs.gov Assistant External Affairs Officer X Troy Christensen 312-874-0574 troy.christensen@fema.dhs.gov Assistant External Affairs Officer - Congressional Affairs Assistant External Affairs Officer - Congressional Affairs Assistant External Affairs Officer - Intergovernmental Affairs Assistant External Affairs Manager - Planning and Products X Jonathan Whitham 317-727-5377 jwhitham@dhs.in.gov X Dan Shulman 312-206-8480 dan.shulman@fema.dhs.gov X Colleen Appleby 202-701-8935 colleen.appleby@fema.dhs.gov X Cassie Ringsdorf 312-351-1452 cassie.ringsdorf@fema.dhs.gov
Assistant External Affairs Manager - Private Sector X Kim Phillips 312-841-2797 kimberly.phillips@fema.dhs.gov Operations Position S t a t e T r i b e F E M A O F A Name Phone Work Email Operations Section Chief X Mary Moran 317-696-0713 MMoran@dhs.IN.gov Operations Section Chief X Darrin Ricketts 720-315-1679 darrin.ricketts@fema.dhs.gov Mission Assignment Manager X Alexandra Zimmer 202-704-4160 alexandra.zimmer@fema.dhs.gov Branch I Director X Vince Parisi 312-497-5422 vincent.parisi@fema.dhs.gov Branch II Director X TD Kennard 202-702-7439 t.kennard@fema.dhs.gov Disaster Survivor Assistance Branch Director X Cheryl Catchings 470-362-9967 cheryl.catchings@fema.dhs.gov Deputy Disaster Survivor Assistance Branch Director X Ronald Stillwagon 337-224-2433 ronald.stillwagon@fema.dhs.gov DSA Task Force Lead Branch I X Duane Marusa 404-205-3385 duane.marusa@fema.dhs.gov DSA Task Force Lead Branch II X Sharon Ellershaw 202-805-6861 sharon.ellershaw@fema.dhs.gov Individual Assistance Branch Director X Samantha Garrett 317-694-1684 SGarrett1@dhs.IN.gov Individual Assistance Branch Director X Larry Cassagne 317-417-3696 LCassagne@dhs.IN.gov Individual Assistance Branch Director X Steve Cooper 202-805-6762 steven.cooper@fema.dhs.gov Deputy Individual Assistance Branch Director X Jean McGhee 312-859-1667 jean.mcghee@fema.dhs.gov DRC Group Supervisor X Janet Stacey 732-804-7528 janet.stacey@fema.dhs.gov DRC Task Force Lead X Dean Carney 202-718-1543 dean.carney@fema.dhs.gov Information Management Group Supervisor X Christy Hienbach 202-805-6737 cristy.hienbach@fema.dhs.gov Deputy Information Manager Group Supervisor X Kent Huizinga 312-576-294 kent.huizinga@fema.dhs.gov Human Services Group Supervisor X Alfredo Carino 940-208-7365 alfredo.carino@fema.dhs.gov Voluntary Agency Group Supervisor X Sara Echols 202-417-4136 sara.echols@fema.dhs.gov Infrastructure Branch Director X Susan Shearer 317-471-9657 SuShearer@dhs.IN.gov Infrastructure Branch Director X Don Helgeson 312-813-2573 donald.helgeson@fema.dhs.gov Small Business Administration X Gary Davisson 404-909-1549 gary.davisson@sba.gov Mitigation Branch Director X Torrey Glover 317-771-6560 TGlover@dhs.IN.gov Mitigation Branch Director X Rusty Rickart 312-515-3742 rusty.rickart@fema.dhs.gov Community Education and Outreach Group Supervisor Hazard Performance Analysis Group Supervisor X Laurie Smith- Kuypers 312-213-6349 laurie.smithkuypers@fema.dhs.gov X Christine Gaynes 202-480-1265 christine.gaynes@fema.dhs.gov Grants and Planning Group Supervisor X Pam Proviak 202-258-4049 pamela.broviak@fema.dhs.gov Floodplain Mgmt. and Insurance Group Supervisor X John Devine 312-806-6298 john.devine@fema.dhs.gov Logistics Position S t a t e T r i b e F E M A O F A Name Phone Work Email Logistics Section Chief X Gail Melanson 571-529-0852 Gail.melanson@fema.dhs.gov Support Branch Director X Michael Fiscus 540-532-0534 Michael.fiscus@fema.dhs.gov Service Branch Director X Warren Daniels 312-203-9283 warren.daniels@fema.dhs.gov Communications Unit Leader X Noah Apata 202-568-2220 noah.apata@fema.dhs.gov RSOI Coordinator - Primary X Nancy Bosarge 202-213-9817 nancy.bosarge@fema.dhs.gov RSOI Coordinator - Secondary X Jillian Sandala 202-717-2887 jillian.sandala@fema.dhs.gov
Planning Position S t a t e T r i b e F E M A O F A Name Phone Work Email Planning Section Chief X Scott Hutchins 202-631-9389 Scott.hutchins@fema.dhs.gov Situation Unit Leader X Zach Baker 202-615-6582 Zachary.baker@fema.dhs.gov Resources Unit Leader X Natalie Dybsky 202-455-9967 natalie.dybsky@fema.dhs.gov Documentation Unit Leader X Kimberly Mansion 202-826-3021 kimberly.mansion@fema.dhs.gov GIS Unit Leader X Daniel Ryan 202-689-7978 daniel.ryan@fema.dhs.gov Finance & Administration Position S t a t e T r i b e F E M A O F A Name Phone Work Email Finance and Administration Section Chief X Tricia Bosros 303-325-1888 patricia.borsos@fema.dhs.gov Human Resource Unit Leader X Leola Swain 202-805-9559 leola.swain@fema.dhs.gov Travel Manager X Miako Johnson 312-852-0995 miako.johnson@fema.dhs.gov 4. Prepared by: Natalie Dybsky, Resources Unit Lead /Time: 1500 5. Reviewed by: Scott Hutchins, Planning Section Chief /Time: 1600
JOINT FIELD OFFICE ORGANIZATION CHART 1. Incident Name 2. /Time Prepared 3. Operational Period /Time 0700 EDT 05/19/2018 - FEMA-4363-DR-IN 1600 EDT 0700 EDT 05/22/2018 PAGE 1 OF 6 State Coordinating Officer / GAR (S) Erin Rowe Deputy GAR (S) Mary Moran UNIFIED COORDINATION GROUP Federal Coordinating Officer (F) David Samaniego FCO Executive Specialist (F) Danice Wolfe Legal Advisor (F) Lisa Baughman Safety Officer (F) Loretta Valentine Security Officer (F) Larry Burkert Chief of Staff (F) Peter Raiswell Disability Integration Advisor (F) Benita Dallas EHP Advisor (F) Nicholas Dorochoff SBA Officer in Charge (SBA) Gary Davisson External Affairs Officer (S) David Hosick (F) Sandy Jasmund Assistant External Affairs Officer (F) Troy Christensen Assistant External Affairs Officer Congressional Affairs (S) Johnathan Whitham (F) Dan Shulman Assistant External Affairs Officer Planning & Products (F) Cassie Ringsdorf Assistant External Affairs Officer Intergovernmental Affairs (F) Colleen Appleby Assistant External Affairs Officer Private Sector (F) Kim Phillips SBA Public Information Officer (F) Matthew Young Operations Section Chief (S) Mary Moran (F) Darrin Ricketts Logistics Section Chief (F) Gail Melanson Planning Section Chief (F) Scott Hutchins Finance / Admin Section Chief (F) Tricia Borsos See Operations Organization Chart Support Branch Director (F) Michael Fiscus Service Branch Director (F) Warren Daniels Situation Unit Leader (F) Zachary Baker HR Unit Leader (F) Leola Swain Communications Unit Leader (F) Noah Apata Resources Unit Leader (F) Natalie Dybsky Documentation Unit Leader (F) Kimberly Mansion Travel (F) Miako Johnson GIS Unit Leader (F) Dan Ryan 4. Prepared By: 5. Reviewed By: ICS-207 FEMA Natalie Dybsky, Resource Unit Leader Scott Hutchins, Planning Section Chief
OPERATIONS ORGANIZATION CHART 1. Incident Name 2. /Time Prepared 3. Operational Period /Time FEMA-4363-DR-IN 05/18/18 1600 EDT 0700 EDT 05/19/2018-0700 EDT 05/22/2018 PAGE 2 OF 6 Operations Section Chief (F) Darrin Ricketts Mission Assignment Manager (F) Alexandra Zimmer Assistant Operations Section Chief Field (F) Darrin Ricketts Branch I Director (F) Vince Parisi Branch II Director (F) TD Kennard Disaster Survivor Assistance Branch Director (F) Cheryl Catchings See Disaster Survivor Assistance Organization Chart Individual Assistance Branch Director (S) Samantha Garrett (F) Steve Cooper Dep. Individual Assistance Branch Director (F) Jean McGhee See Individual Assistance Organization Chart Infrastructure Branch Director (S) Susan Shearer (F) Don Helgeson See Individual Assistance Organization Chart Hazard Mitigation Branch Director (S) Torrey Glover (F) Rusty Rickart See Individual Assistance Organization Chart 4. Prepared By: 5. Reviewed By: ICS-207 FEMA Natalie Dybsky, Resource Unit Leader Scott Hutchins, Planning Section Chief
DISASTER SURVIVOR ASSISTANCE ORGANIZATION CHART 1. Incident Name 2. /Time Prepared 3. Operational Period /Time FEMA-4363-DR-IN 05/18/18 1600 EDT 0700 EDT 05/19/2018-0700 EDT 05/22/2018 PAGE 3 OF 6 Operations Section Chief (F) Darrin Ricketts Disaster Survivor Assistance Branch Director (F) Cheryl Catchings Deputy Disaster Survivor Assistance Branch Director (F) Ronald Stillwagon Branch I Task Force Leader (F) Duane Marusa SMARA (F) Jeannine Koski Branch II Task Force Leader (F) Sharon Ellershaw SMARA (F) Deborah Artzner Crew 1 Elkhart/St. Joseph/ Marshall Crew Leader (F) Donald Hawkins Crew 2 Lake/Carroll Crew Leader (F) Dianna Dionne Crew 3 Jefferson/Clark Crew Leader (F) James (Mike) Jones Crew 4 Floyd/Harrison Crew Leader (F) Tracy Y. Davis DSA Specialist (F) Monica Curtis DSA Specialist (F) Mary Czaplinski DSA Specialist (F) Gregory Moore DSA Specialist (F) Branch Isbell DSA Specialist (F) Homer Nabors III DSA Specialist (F) Jean Gutierrez Mirabal DSA Specialist (F) Christopher Urban DSA Specialist (F) Donald Sidner DSA Specialist (F) Patricia Wiedmer DSA Specialist (F) David Mandel DSA Specialist (F) Rosanne Machor DSA Specialist (F) Albert Morin, Jr. DSA Specialist (F) Marilyn Torres- Ortiz DSA Specialist (F) Robert Dunn DSA Specialist (F) Catalina Echevarria DSA Specialist (F) Robert Gamer DSA Specialist (F) Jose Narvaez Colon 4. Prepared By: 5. Reviewed By: ICS-207 FEMA Natalie Dybsky, Resource Unit Leader Scott Hutchins, Planning Section Chief
INDIVIDUAL ASSISTANCE ORGANIZATION CHART 1. Incident Name 2. /Time Prepared 3. Operational Period /Time FEMA-4363-DR-IN 05/18/18 1600 EDT 0700 EDT 05/19/2018-0700 EDT 05/22/2018 PAGE 4 OF 6 Operations Section Chief (F) Darrin Ricketts Individual Assistance Branch Director (S) Samantha Garrett (S) Larry Cassagne (F) Steve Cooper Deputy Individual Assistance Branch Director (F) Jean McGhee DRC Group Supervisor (F) Janet Stacey Information Management Group Supervisor (F) Christy Hienbach (F) Kent Huizinga Voluntary Agency Group Supervisor (F) Sara Echols Individuals and Households Program Group Supervisor (F) Susan Jensen Human Services Group Supervisor (F) Alfredo Carino DRC Task Force Lead (F) Dean Carney VAL Specialists Branch I (F) Jacqueline Silkis IHP Task Force Lead (F) Kayla Henry DRC 1 Manager (F) Claudette Coyle VAL Specialists Branch II (F) Colleen Curran DRC 2 Manager (F) Theresa Winstead DRC 3 Manager (F) Jan Salinas DRC 4 A/B Manager (F) Paul Buffington DRC 5 A/B Manager (F) William Penrod 4. Prepared By: 5. Reviewed By: ICS-207 FEMA Natalie Dybsky, Resource Unit Leader Scott Hutchins, Planning Section Chief
PUBLIC ASSISTANCE ORGANIZATION CHART 1. Incident Name 2. /Time Prepared 3. Operational Period /Time FEMA-4363-DR-IN 05/18/18 1600 EDT 0700 EDT 05/19/2018-0700 EDT 05/22/2018 PAGE 5 OF 6 Operations Section Chief (F) Darrin Ricketts Infrastructure Branch Director (S) Susan Shearer (F) Don Helgeson Ops Task Force Lead (F) Catherine Warren 4. Prepared By: 5. Reviewed By: ICS-207 FEMA Natalie Dybsky, Resource Unit Leader Scott Hutchins, Planning Section Chief
HAZARD MITIGATION BRANCH ORGANIZATION CHART 1. Incident Name 2. /Time Prepared 3. Operational Period /Time FEMA-4363-DR-IN 05/18/18 1600 EDT 0700 EDT 05/19/2018-0700 EDT 05/22/2018 PAGE 6 OF 6 State NFIP Coordinator Anita Nance HM Group Supervisor (F) Rusty Rickart State Hazard Mitigation Officer Torrey Glover HM Floodplain Management & Insurance Task Force Leaders (F) John Devine HM Hazards & Performance Analysis Task Force Leader (F) Christine Gaynes (Regional Support) HM Community Education Outreach Task Force Leader (F) Laurie Smith-Kuypers (DRC Coordinator) HM Grants & Planning Task Force Leaders (F) Pam Broviak 4. Prepared By: 5. Reviewed By: ICS-207 FEMA Natalie Dybsky, Resource Unit Leader Scott Hutchins, Planning Section Chief
FEMA-4363-DR-IN - Severe Storms and Flooding Incident Facilities BRANCH l BRANCH ll Division A Posey Gibson Lake Newton Vigo Sullivan # Benton Warren Vermillion Knox Warrick Vanderburgh Parke Pike Porter Jasper Clay Daviess White Tippecanoe Fountain DRC 4a 5/17/2018 District 1 Montgomery District 7 Greene District 10 Division D Owen $+ # # # District 2 Morgan Monroe Lawrence Úð "! Hendricks Putnam Marion Dubois Spencer Laporte Martin Starke Pulaski District 4 Carroll Perry Clinton Orange St Joseph Marshall Fulton Cass Boone DRC 2 5/17/2018 DRC 4b 5/21/2018 Howard Brown Tipton District 5 # Harrison Elkhart Kosciusko Miami Wabash $+ # DRC 5a Floyd Crawford 5/17/2018 Grant Hancock # Lagrange Noble Whitley Huntington Wells Blackford Delaware Hamilton Madison Henry Johnson Bartholomew Jackson District 8 Washington DRC 1 5/11/2018 Shelby Rush Decatur Jennings Scott Clark DRC 5b 5/21/2018 Division B District 3 Jefferson Steuben De Kalb Allen Adams Jay District 6 Randolph Fayette Ripley Wayne Franklin District 9 DRC 3 5/12/2018 Dearborn Ohio Union Switzerland Division C IA MO Úð "! $+ IL Data Layer / Map Description: This product illustrates the counties affected by the severe storms and flooding occurring in the State of Indiana and included in the presidential declaration. Additional information includes DRCs, Branches, Divisions, and IDHS Districts. Joint Field Office Initial Operating Facility Branch Offices Disaster Recovery s # DRC # Roving DRC Functional Area Individual Assistance Disaster Survivor Assistance External Affairs Hazard Mitigation IDHS Districts Branch Division A Division B Division C Division D IN Individual Assistance (2) Individual and Public Assistance (7) Public Assistance (20) No Designation (63) MI KY 0 30 60 Miles 0 30 60 Kilometers Created: Friday, May 18, 2018 Source: FEMA Geospatial Resource FEMA Region 5 OH WV I
FEMA-4363-DR-IN - Severe Storms and Flooding Branch I: Field Activities 0700 EDT 5/18/2018 to 0700 EDT 5/21/2018 Division A Lake DRC 4a 5/17/2018 # Porter District 1 Laporte Starke Division B # # $+ St Joseph District 2 Marshall DRC 2 5/17/2018 DRC 4b 5/21/2018 DRC 1 5/11/2018 # Elkhart Kosciusko Lagrange Noble Steuben De Kalb IA MO IL IN MI KY OH Data Layer / Map Description: This product illustrates the counties affected by the severe storms and flooding occurring in the State of Indiana and included in the presidential declaration. Additional information includes DRCs, Branches, Divisions, and IDHS Districts. WV BRANCH l Newton Jasper White Pulaski Fulton Cass Miami Wabash Whitley District 3 Huntington Allen Wells Adams Úð "! $+ Joint Field Office Initial Operating Facility Branch Offices Disaster Recovery s # DRC # Roving DRC Functional Area Individual Assistance Benton Carroll Disaster Survivor Assistance Warren Fountain District 4 Tippecanoe Montgomery Clinton Boone Howard Tipton Hamilton Grant Blackford Delaware Madison District 6 Jay Randolph External Affairs Hazard Mitigation IDHS Districts Branch Division A Division B Individual Assistance (2) Individual and Public Assistance (3) Vermillion Vigo Parke District 7 Clay Putnam Hendricks Morgan "! Úð District 5 Marion Johnson Hancock Shelby Henry Rush Wayne Fayette Union District 9 Public Assistance (11) No Designation (43) 0 20 40 Miles 0 20 40 Kilometers Created: Friday, May 18, 2018 Source: FEMA Geospatial Resource FEMA Region 5 I
FEMA-4363-DR-IN - Severe Storms and Flooding Branch I Division A: Field Activities 0700 EDT 5/18/2018 to 0700 EDT 5/21/2018 BRANCH l Lake DRC 4a 5/17/2018 # Porter District 1 Laporte Starke # # $+ St Joseph District 2 Marshall DRC 2 5/17/2018 Division B DRC 4b 5/21/2018 DRC 1 5/11/2018 # Elkhart Kosciusko Lagrange Noble IA MO IL IN MI KY OH Data Layer / Map Description: This product illustrates the counties affected by the severe storms and flooding occurring in the State of Indiana and included in the presidential declaration. Additional information includes DRCs, Branches, Divisions, and IDHS Districts. WV Division A Newton Benton Warren Fountain Vermillion Parke Whitley Pulaski Fulton Jasper District 7 Wabash Cass Miami Huntington White District 4 Tippecanoe Montgomery Carroll Clinton Boone Hendricks Putnam Vigo Clay Morgan Wells Grant Howard Blackford "! Tipton Delaware Madison Hamilton Úð District 5 Marion Johnson District 6 District 3 Henry Hancock Rush Shelby Úð "! $+ Joint Field Office Initial Operating Facility Branch Offices Disaster Recovery s # DRC # Roving DRC Functional Area Individual Assistance Disaster Survivor Assistance External Affairs Hazard Mitigation IDHS Districts Branch Division A Division B Individual Assistance (2) Individual and Public Assistance (3) Public Assistance (11) No Designation (33) 0 20 40 Miles 0 10 20 Kilometers I Created: Friday, May 18, 2018 Source: FEMA Geospatial Resource FEMA Region 5
FEMA-4363-DR-IN - Severe Storms and Flooding Branch I Division B: Field Activities 0700 EDT 5/18/2018 to 0700 EDT 5/21/2018 BRANCH l IA MI St Joseph DRC 2 5/17/2018 # $+ DRC 1 5/11/2018 # Elkhart Lagrange MO IL IN KY OH WV Porter Laporte Data Layer / Map Description: This product illustrates the counties affected by the severe storms and flooding occurring in the State of Indiana and included in the presidential declaration. Additional information includes DRCs, Branches, Divisions, and IDHS Districts. Division A District 1 Starke DRC 4b 5/21/2018 # Marshall District 2 Division B Kosciusko Noble $+ Branch Offices Disaster Recovery s # DRC # Roving DRC Functional Area Individual Assistance Disaster Survivor Assistance External Affairs Whitley Hazard Mitigation IDHS Districts Branch Jasper Pulaski Fulton Division A Division B Individual Assistance (1) Individual and Public Assistance (3) Public Assistance (8) District 3 No Designation (10) Benton White District 4 Carroll Cass Miami Wabash District 6 Huntington Grant Wells 0 10 20 Miles 0 10 20 Kilometers Created: Friday, May 18, 2018 Source: FEMA Geospatial Resource FEMA Region 5 I
FEMA-4363-DR-IN - Severe Storms and Flooding Branch II: Field Activities 0 700 EDT 5/18/2018 to 0700 EDT 5/21/2018 Posey Gibson Vermillion Vanderburgh Vigo Sullivan Knox Parke Pike Warrick Clay District 7 Daviess District 10 Greene Spencer Putnam Owen Dubois Martin Perry Hendricks Morgan Monroe Lawrence Orange Crawford Brown District 8 "! Marion District 5 Johnson # Jackson Washington DRC 5a 5/17/2018 Harrison Hancock Shelby Bartholomew Floyd Scott DRC 5b Jennings Clark # 5/21/2018 $+ # District 6 Rush Decatur District 9 Jefferson DRC 3 5/12/2018 Ripley Fayette Wayne Franklin Union Dearborn Ohio Switzerland Division C IA MO "! $+ IL Data Layer / Map Description: This product illustrates the counties affected by the severe storms and flooding occurring in the State of Indiana and included in the presidential declaration. Additional information includes DRCs, Branches, Divisions, and IDHS Districts. Initial Operating Facility Branch Offices Disaster Recovery s # DRC # Roving DRC Functional Area Individual Assistance Disaster Survivor Assistance IDHS Districts Branch Division A Division C Division D IN Individual and Public Assistance (4) Public Assistance (10) MI KY OH WV No Designation (35) Division D BRANCH ll 0 20 40 Miles 0 20 40 Kilometers I Created: Friday, May 18, 2018 Source: FEMA Geospatial Resource FEMA Region 5
FEMA-4363-DR-IN - Severe Storms and Flooding Branch II Division C: Field Act ivities 0700 EDT 5/18/2018 to 0700 EDT 5/21/2018 Monroe Morgan District 5 Brown Johnson Bartholomew Jennings Decatur Ripley District 9 Franklin Dearborn Ohio IA MO IL IN MI KY OH Data Layer / Map Description: This product illustrates the counties affected by the severe storms and flooding occurring in the State of Indiana and included in the presidential declaration. Additional information includes DRCs, Branches, Divisions, and IDHS Districts. WV Lawrence District 8 Jackson Scott Jefferson Switzerland $+ Branch Offices Disaster Recovery s # DRC # Roving DRC Functional Area Individual Assistance Washington Division C Disaster Survivor Assistance IDHS Districts Orange Branch Division C Clark Division D Individual and Public Assistance (4) Crawford District 10 DRC 5a 5/17/2018 # Harrison Floyd $+ # DRC 5b 5/21/2018 DRC 3 5/12/2018 # BRANCH ll Public Assistance (5) No Designation (15) Perry 0 10 20 Miles 0 10 20 Kilometers Created: Friday, May 18, 2018 Source: FEMA Geospatial Resource FEMA Region 5 I
FEMA ICS 204 FORM BRANCH ASSIGNMENT LIST 1. FEMA Disaster Number: FEMA-4363-DR-IN 2. Operational Period: 05/19/2018 0700 to 05/22/2018 0700 5. Prepared By: Natalie Dybsky, Resources Unit Lead 3. Branch: *Branch I 4. Division / Group: N/A 6. Reviewed By (OSC-State): Mary Moran 10. Operations Personnel: Position/Contact Information OSC (State): Mary Moran 317-696-0713 MMoran@dhs.IN.gov 7. Reviewed By (PSC-State): OSC (FEMA): Darrin Ricketts 720-315-1679 darrin.ricketts@fema.dhs.gov Branch Director (State): Branch Director (FEMA): Vince Parisi 312-497-5422 vincent.parisi@fema.dhs.gov 8. Reviewed By (OSC-FEMA): Darrin Ricketts Div/Group Supervisor (State): Div/Group Supervisor (FEMA): 9. Reviewed By (PSC-FEMA): Scott Hutchins 11. Resources Assigned Resource Identifier Functional Area Resource Leader Name Leader Contact Information Total # of Persons Work Assignment Reporting Location/Time Logistical needs, Special Instruction, additional information Branch 1 Director Geographic Operations (F) Vince Parisi 312 497-5422 1 Conduct key leader engagements to identify and resolve concerns, assess O-Period Work Assignments, and inform the JFO leadership in Branch I. Branch I St. Joseph County, IN 05/19/2018 0700 EDT Operational Period. Branch I & II Offices FEMA Inspections Individual Assistance - General (F) Jon Engwall 540-533-0624 14 FEMA contractors conducting home inspections throughout designated IA counties. Operational Period. 05/19/2018 0700 EDT Communications (radio frequency/channel information and/or phone contact numbers needed for this assignment): EA: Troy Christensen, troy.christensen@fema.dhs.gov Regional News Desk: 312-408-4455
FEMA ICS 204 FORM BRANCH ASSIGNMENT LIST 1. FEMA Disaster Number: FEMA-4363-DR-IN 2. Operational Period: 05/19/2018 0700 to 05/22/2018 0700 5. Prepared By: Natalie Dybsky, Resources Unit Lead 3. Branch: *Branch II 4. Division / Group: N/A 6. Reviewed By (OSC-State): Mary Moran 10. Operations Personnel: Position/Contact Information OSC (State): Mary Moran 317-696-0713 MMoran@dhs.IN.gov OSC (FEMA): Darrin Ricketts 720-315-1679 darrin.ricketts@fema.dhs.gov Branch Director (State): Branch Director (FEMA): TD Kennard 202-702-7439 t.kennard@fema.dhs.gov Div/Group Supervisor (State): Div/Group Supervisor (FEMA): 7. Reviewed By (PSC-State): 8. Reviewed By (OSC-FEMA): Darrin Ricketts 9. Reviewed By (PSC-FEMA): Scott Hutchins 11. Resources Assigned Resource Identifier Branch II Director Functional Area Geographic Operations Resource Leader Name Leader Contact Information Total # of Persons (F) TD Kennard 202-702-7439 1 Work Assignment Conduct key leader engagements to identify and resolve concerns, assess O-Period Work Assignments, and inform the JFO leadership in Branch II. Reporting Location/Time Branch II Floyd County, IN 05/19/2018 0700 Logistical needs, Special Instruction, additional information Operational Period. Communications (radio frequency/channel information and/or phone contact numbers needed for this assignment): EA: Troy Christensen, troy.christensen@fema.dhs.gov Regional News Desk: 312-408-4455
FEMA ICS 204 FORM DIVISION ASSIGNMENT LIST 1. FEMA Disaster Number: FEMA-4363-DR-IN 2. Operational Period: 05/19/2018 0700 to 05/22/2018 0700 5. Prepared By: Natalie Dybsky, Resources Unit Lead 3. Branch: *Branch I 4. Division / Group: Division A 6. Reviewed By (OSC-State): Mary Moran 9. Operations Personnel: Position/Contact Information OSC (State): Mary Moran 317-696-0713 MMoran@dhs.IN.gov 7. Reviewed By (PSC-State): OSC (FEMA): Darrin Ricketts 720-315-1679 darrin.ricketts@fema.dhs.gov Branch Director (State): Branch Director (FEMA): Vince Parisi 312-497-5422 vincent.parisi@fema.dhs.gov 8. Reviewed By (OSC-FEMA): Darrin Ricketts Div/Group Supervisor (State): Div/Group Supervisor (FEMA): 9. Reviewed By (PSC-FEMA): Scott Hutchins 10. Resources Assigned Resource Identifier Functional Area Resource Leader Name Leader Contact Information Total # of Persons Work Assignment Reporting Location/Time Logistical needs, Special Instruction, additional information DSA Crew # 2A Disaster (F) Dianna Survivor Dionne Assistance 202-805-6346 2 Conduct AIR (Assess, Inform, Report), conduct mobile registrations, case inquiries, updates, survivor needs assessments, whole community referrals and provide community leaders disaster-related materials in Carroll County. Delphi Fire Dept. 310 W. Main St, Delphi, IN 46023-1400 USNG: 16T EK 27384 92763 05/19/2018 0800 EDT Operational Period DSA Crew #2B Disaster (F) Dianna Survivor Dionne Assistance 202-805-6346 3 Conduct AIR (Assess, Inform, Report), conduct mobile registrations, case inquiries, updates, survivor needs assessments, whole community referrals and provide community leaders disaster-related materials in Lake County. Merrillville Fire Station #2 7905 Taft St Merrillville, IN 46410-5242 USNG: 16T DL 69527 91355 05/19/2018 0800 CDT Operational Period
DRC Task Force 4A Individual Assistance - DRCs (F) Paul Buffington 603-608-6222 10 Conduct Roving Disaster Recovery (DRC 4A) operation in Lake Station, IN (Lake County) through 5/19/2018. DRC 4A Polk Elementry School 2460 Vermillion Street, Lake Station, IN 46405 USNG: 16T DM 80895 02310 Open Saturday 0900-1900 CDT, supported by DSA (as needed), SBA, and HM. Closes at 1900 CDT on Saturday 5/19/18 NFIP Specialist Media Relations Specialist 1 Intergovernmental Affairs Specialist 1 Hazard Mitigation ESF 15: External Affairs ESF 15: External Affairs (F) John Devine (F) William Lindsey Jr. (F) Tom Hardy 312-806-6298 1 202-538-4754 1 718-747-4504 1 Conduct a National Flood Insurance Program Community Assistance Contact for LaPorte County with Fran Tibbot, Secretary, LaPorte County Emergency Management. Support public information distribution and outreach to media in Branch 1, Division A. Support information distribution and outreach to local elected officials and other community stakeholders in Branch 1, Division A. Communications (radio frequency/channel information and/or phone contact numbers needed for this assignment): 05/19/2018 0900 CDT Michigan City - City Hall 101 Michigan Blvd Michigan City, IN 46360 USNG: 16T EM 08077 18638 05/21/2018 1100 CDT Lake County, IN 05/19/2018 0700 CDT Lake County, IN 05/19/2018 0700 CDT N/A Operational Period Operational Period
FEMA ICS 204 FORM DIVISION ASSIGNMENT LIST 1. FEMA Disaster Number: FEMA-4363-DR-IN 2. Operational Period: 05/19/2018 0700 to 05/22/2018 0700 5. Prepared By: Natalie Dybsky, Resources Unit Lead 3. Branch: *Branch I 4. Division / Group: Division B 6. Reviewed By (OSC-State): Mary Moran 9. Operations Personnel: Position/Contact Information OSC (State): Mary Moran 317-696-0713 MMoran@dhs.IN.gov OSC (FEMA): Darrin Ricketts 720-315-1679 darrin.ricketts@fema.dhs.gov Branch Director (State): Branch Director (FEMA): Vince Parisi 202-702-7439 vincent.parisi@fema.dhs.gov Div/Group Supervisor (State): Div/Group Supervisor (FEMA): 7. Reviewed By (PSC-State): 8. Reviewed By (OSC-FEMA): Darrin Ricketts 9. Reviewed By (PSC-FEMA): Scott Hutchins 10. Resources Assigned Resource Identifier DSA Crew #1A Functional Area Disaster Survivor Assistance Resource Leader Name (F) Don Hawkins Leader Contact Information Total # of Persons 609-508-2374 3 Work Assignment Conduct AIR (Assess, Inform, Report), conduct mobile registrations, case inquiries, updates, survivor needs assessments, whole community referrals and provide community leaders disaster-related materials in Elkhart County. Reporting Location/Time FEMA Branch I Office 1222 S. Michigan St. South Bend, IN 46601-3430 USNG: 16T EM 62444 12421 05/19/2018 0800 EDT Logistical needs, Special Instruction, additional information Operational Period
DSA Crew #1B Disaster Survivor Assistance (F) Don Hawkins 609-508-2374 3 Conduct AIR (Assess, Inform, Report), conduct mobile registrations, case inquiries, updates, survivor needs assessments, whole community referrals and provide community leaders disaster-related materials in Marshall County. FEMA Branch I Office 1222 S. Michigan St. South Bend, IN 46601-3430 USNG: 16T EM 62444 12421 05/19/2018 0800 EDT Operational Period DSA Crew #1C Disaster Survivor Assistance (F) Don Hawkins 609-508-2374 3 Conduct AIR (Assess, Inform, Report), conduct mobile registrations, case inquiries, updates, survivor needs assessments, whole community referrals and provide community leaders disaster-related materials in St. Joseph County. FEMA Branch I Office 1222 S Michigan Street, South Bend, Indiana 46601-3430 USNG: 16T EM 62444 12421 05/19/2018 0800 EDT Operational Period DRC Task Force #1 Individual Assistance - DRCs (F) Claudette Coyle 520-403-9518 15 Conduct Disaster Recovery (DRC #1) operation in Elkhart County. DRC 1 608 Oakland Ave, Elkhart, IN, 46516-2116 USNG: 16T EM 84490 14472 05/19/2018 0900 EDT Open Sunday - Saturday 0900-1900 Supported by DSA (as needed), HM, SBA, and State Long Term Recovery representative. Operational Period DRC Task Force 2 Individual Assistance - DRCs (F) Theresa Winstead 732-804-9244 10 Conduct Disaster Recovery (DRC 2) operation in South Bend (St. Joseph County). DRC 2 534 N. Michigan Street, South Bend, IN, 46601 USNG: 16T EM 62385 14845 05/19/2018 0900 Open Sunday through Saturday 0900-1900 EDT, supported by DSA (as needed), HM, SBA, and State Long Term Recovery. Operational Period DRC Task Force 4B Individual Assistance - DRCs (F) Paul Buffington 603-608-6222 9 Conduct Roving Disaster Recovery (DRC 4B) operation in Marshall County beginning on 5/21/2018 from 0900-1900 EDT Roving DRC 4B 2855 Miller Drive, Plymouth, IN 46563 USNG: 16T EL 54546 78885 05/21/2018 0900 EDT Open Monday, Tuesday, and Wednesday 0900-1900 EDT, supported by DSA (as needed), SBA, and HM. Operational Period
VAL - LTRG Marshall Individual Assistance - VAL (F) Sara Echols 202-407-4136 3 Attending Long Term Recovery Group (LTRG) Meeting in Marshall County, to coordinate unmet needs. 510 W Adams Street, Plymouth, IN 46563 USNG: 16T EL 57347 76983 Supported by SBA 05/21/2018 1000 EDT South Bend City Hall NFIP Specialist 1 Hazard Mitigation (F) John Devine 312-806-6298 1 Conduct a National Flood Insurance Program Community Assistance Contact for the City of South Bend,(St. Joseph County) with Charles Bulot, Building Commissioner. 125 South LaFayette Blvd., IN 46601-1518 USNG: 16T EM 62131 14012 N/A 05/21/2018 1300 EDT Elkhart City Hall NFIP Specialist 1 Hazard Mitigation (F) John Devine 312-806-6298 1 Conduct a National Flood Insurance Program Community Assistance Contact for the City of Elkhart, (Elkhart County) with Eric Trotter, Zoning Official. 229 South Second Street, Elkhart, IN 46516-3112 USNG: 16T EM 85377 15345 N/A 05/21/2018 1500 EDT Elkhart/South Bend, IN Media Relations Specialist 2 ESF 15: External Affairs (F) Rita Egan 601-467-7369 1 Support public information distribution and outreach to media in Branch 1, Division B. Operational Period Intergovernmental Affairs Specialist 2 ESF 15: External Affairs (F) Manuel Portela 202-702-8478 1 Support information distribution and outreach to local elected officials and other community stakeholders in Branch 1, Division B. Communications (radio frequency/channel information and/or phone contact numbers needed for this assignment): 05/19/2018 0700 EDT Elkhart/South Bend, IN 05/19/2018 0700 EDT Operational Period
FEMA ICS 204 FORM DIVISION ASSIGNMENT LIST 1. FEMA Disaster Number: FEMA-4363-DR-IN 2. Operational Period: 05/19/2018 0700 to 05/22/2018 0700 5. Prepared By: Natalie Dybsky, Resources Unit Lead 3. Branch: *Branch II 4. Division / Group: Division C 6. Reviewed By (OSC-State): Mary Moran 9. Operations Personnel: Position/Contact Information OSC (State): Mary Moran 317-696-0713 MMoran@dhs.IN.gov OSC (FEMA): Darrin Ricketts 720-315-1679 darrin.ricketts@fema.dhs.gov Branch Director (State): Branch Director (FEMA): TD Kennard 202-702-7439 t.kennard@fema.dhs.gov Div/Group Supervisor (State): Div/Group Supervisor (FEMA): 7. Reviewed By (PSC-State): 8. Reviewed By (OSC-FEMA): Darrin Ricketts 9. Reviewed By (PSC-FEMA): Scott Hutchins 10. Resources Assigned Resource Identifier DSA Crew #3A Functional Area Disaster Survivor Assistance Resource Leader Name (F) Mike Jones Leader Contact Information Total # of Persons 337-200-0680 3 Work Assignment Conduct AIR (Assess, Inform, Report), conduct mobile registrations, case inquiries, updates, survivor needs assessments, whole community referrals and provide community leaders disaster-related materials in Jefferson County. Reporting Location/Time FEMA Branch II Office 2524 Cordyn Pike, New Albany, IN 47150-6126 USNG: 16S EH 99663 37558 05/19/2018 0800 EDT Logistical needs, Special Instruction, additional information Operational Period
DSA Crew #3B Disaster Survivor Assistance (F) Mike Jones 337-200-0680 2 Conduct AIR (Assess, Inform, Report), conduct mobile registrations, case inquiries, updates, survivor needs assessments, whole community referrals and provide community leaders disaster-related materials in Clark County. FEMA Branch II Office 2524 Cordyn Pike, New Albany, IN 47150-6126 USNG: 16S EH 99663 37558 05/19/2018 0800 EDT Operational Period DSA Crew #4A Disaster Survivor Assistance (F) Tracy Davis 202-805-6790 3 Conduct AIR (Assess, Inform, Report), conduct mobile registrations, case inquiries, updates, survivor needs assessments, whole community referrals and provide community leaders disaster-related materials in Harrison County. FEMA Branch II Office 2524 Cordyn Pike, New Albany, IN 47150-6126 USNG: 16S EH 99663 37558 05/19/2018 0800 EDT Operational Period DSA Crew #4B Disaster Survivor Assistance (F) Tracy Davis 202-805-6790 3 Conduct AIR (Assess, Inform, Report), conduct mobile registrations, case inquiries, updates, survivor needs assessments, whole community referrals and provide community leaders disaster-related materials in Floyd County. FEMA Branch II Office 2524 Cordyn Pike, New Albany, IN 47150-6126 USNG: 16S EH 99663 37558 05/19/2018 0800 EDT Operational Period DRC Task Force 5B Individual Assistance - DRCs (F) William Penrod (303) 330-6874 9 Conduct Roving Disaster Recovery (DRC 5B) operation in Floyd County beginning on 5/21/2018 from 0900-1900 EDT. Roving DRC 5B 2524 Corydon Pike, New Albany, IN 47150 USNG: 16S EH 99663 37558 05/21/2018 0900 Open Monday, Tuesday, and Wednesday 0900-1900, supported by DSA (as needed), SBA, and HM. Operational Period DRC Task Force #3 Individual Assistance - General (F) Jan Salinas 337-534-9098 10 Conduct Disaster Recovery (DRC #3) operation in Clark County Utica Town Hall 107 North 4th Street, Utica, IN 47130 USNG: 16S FH 17758 43984 05/19/2018 0900 Open Sunday - Saturday 0900-1900 Supported by DSA (as needed), HM, SBA, and State Long Term Recovery representative. Operational Period
DRC 5A DRC 5A Task Force Individual Assistance - DRCs (F) William Penrod 303-330-6874 8 Conduct Roving Disaster Recovery (DRC 5A) operation in Corydon, IN (Harrison County) through 5/19/2018. 245 Atwood Street, Corydon, IN 47112 USNG: 16S EH 76833 28971 Open Saturday 0900-1900 EDT, supported by DSA (as needed), HM, and SBA. Closes at 1900 CDT on Saturday 5/19/2018. 05/19/2018 0900 Clark & Harrison County, IN Media Relations Specialist Strike Team 1 ESF 15: External Affairs (F) Banta 'Troy' York 732-779-2975 2 Support public information distribution and outreach to media in Branch 2, Division C. Operational Period Intergovernmental Affairs Specialist 3 ESF 15: External Affairs (F) Harold Brummett 202-805-6438 1 Support information distribution and outreach to local elected officials and other community stakeholders in Branch 2, Division C. Communications (radio frequency/channel information and/or phone contact numbers needed for this assignment): 05/19/2018 0700 Floyd County, IN 05/19/2018 0700 Operational Period
FEMA ICS FORM 206 MEDICAL PLAN 3. Operational Period: 05/19/2018 0700 to 05/22/2018 0700 1. FEMA Disaster Number: FEMA-4363-DR-IN 2. Description: Carroll County 4. Medical Aid Stations Name Division Locations Phys Para 5. Ambulance Services Name Division Address Phone Para EMT Carroll County 110 N Wabash St, Delphi, IN 46923 USNG:16T EK 27355 92869 6. Hospitals 911 Yes Yes Name Division Address Phone Helipad Trauma MEMORIAL HOSPITAL INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL 1101 MICHIGAN AVE, LOGANSPORT, IN 46947 USNG:16T EL 53913 12585 720 SOUTH SIXTH ST, MONTICELLO, IN 47960 USNG:16T EL 18946 09349 Burn 574-753-1541 Yes No No 574-583-7111 Yes No No 7. Medical Emergency Procedures A. Report medical emergencies by calling 911 B. Notify your supervisor of EMS summoning and the location of the ill or injured person. C. You may provide needed medical services to the victim within the scope of your training. D. Do not transport a sick or injured employee in your vehicle. Call 911. E. Do not move a victim with suspected spinal injury unless it is from a life threatening environment. F. If the emergency involves bodily fluids, do not contact the fluids without proper personal protection. G. Notify leadership of any incident requiring transportation of staff. 8. Prepared By: Edward Diaz, Situation Unit Lead & Time: 05/16/2018 12:51:02 9. Reviewed by: Scott Hutchins, Planning Section Chief & Time: 16:00:00
FEMA ICS FORM 206 MEDICAL PLAN 3. Operational Period: 05/19/2018 0700 to 05/22/2018 0700 1. FEMA Disaster Number: FEMA-4363-DR-IN 2. Description: Clark County 4. Medical Aid Stations Name Division Locations Phys Para 5. Ambulance Services Name Division Address Phone Para EMT New Chapel EMS 5820 Utica Pike, Jeffersonville, IN 47130 USNG:16S FH 17275 43118 6. Hospitals 911 Yes Yes Name Division Address Phone Helipad Trauma CLARK MEMORIAL HOSPITAL WELLSTONE REGIONAL HOSPITAL 1220 MISSOURI AVE, JEFFERSONVILLE, IN 47130 USNG:16S FH 09392 37931 2700 VISSING PARK RD, JEFFERSONVILLE, IN 47130 USNG:16S FH 12649 43100 Burn 812-280-3300 No No No 812-284-8000 No No No 7. Medical Emergency Procedures A. Report medical emergencies by calling 911 B. Notify your supervisor of EMS summoning and the location of the ill or injured person. C. You may provide needed medical services to the victim within the scope of your training. D. Do not transport a sick or injured employee in your vehicle. Call 911. E. Do not move a victim with suspected spinal injury unless it is from a life threatening environment. F. If the emergency involves bodily fluids, do not contact the fluids without proper personal protection. G. Notify leadership of any incident requiring transportation of staff. 8. Prepared By: Edward Diaz, Situation Unit Lead & Time: 05/16/2018 12:59:32 9. Reviewed by: Scott Hutchins, Planning Section Chief & Time: 16:00:00
FEMA ICS FORM 206 MEDICAL PLAN 3. Operational Period: 05/19/2018 0700 to 05/22/2018 0700 1. FEMA Disaster Number: FEMA-4363-DR-IN 2. Description: Elkhart County 4. Medical Aid Stations Name Division Locations Phys Para 5. Ambulance Services Name Division Address Phone Para EMT Elkhart Fire Department 500 East St, Elkhart, IN 46516 USNG:16T EM 85878 15220 6. Hospitals 911 Yes Yes Name Division Address Phone Helipad Trauma Elkhart General Hospital Memorial Hospital of South Bend 600 East Blvd, Elkhart, IN 46514 USNG:16T EM 83913 14601 615 N MICHIGAN ST, South Bend, IN 46601 USNG:16T EM 62373 14931 Burn (574) 294-2621 Yes No No (574) 647-1000 Yes Yes No 7. Medical Emergency Procedures A. Report medical emergencies by calling 911 B. Notify your supervisor of EMS summoning and the location of the ill or injured person. C. You may provide needed medical services to the victim within the scope of your training. D. Do not transport a sick or injured employee in your vehicle. Call 911. E. Do not move a victim with suspected spinal injury unless it is from a life threatening environment. F. If the emergency involves bodily fluids, do not contact the fluids without proper personal protection. G. Notify leadership of any incident requiring transportation of staff. 8. Prepared By: Zachary Baker, Situation Unit Leader & Time: 05/08/2018 12:08:43 EDT 9. Reviewed by: Scott Hutchins, Planning Section Chief & Time: 16:00:00 EDT
FEMA ICS FORM 206 MEDICAL PLAN 3. Operational Period: 05/19/2018 0700 to 05/22/2018 0700 1. FEMA Disaster Number: FEMA-4363-DR-IN 2. Description: Floyd County 4. Medical Aid Stations Name Division Locations Phys Para 5. Ambulance Services Name Division Address Phone Para EMT New Albany Fire Department 2207 Green Valley Rd, New Albany, IN 47150 USNG:16S FH 01730 40361 6. Hospitals 911 Yes Yes Name Division Address Phone Helipad Trauma Floyd Memorial Hospital and Health Deconess Hospital 1850 State St, New Albany, IN 47150 USNG:16S FH 01860 39799 600 Mary St, Evansville, IN 47710 USNG:16S DH 49880 04099 Burn (812) 949-5500 Yes No No (812) 450-5000 Yes Yes No 7. Medical Emergency Procedures A. Report medical emergencies by calling 911 B. Notify your supervisor of EMS summoning and the location of the ill or injured person. C. You may provide needed medical services to the victim within the scope of your training. D. Do not transport a sick or injured employee in your vehicle. Call 911. E. Do not move a victim with suspected spinal injury unless it is from a life threatening environment. F. If the emergency involves bodily fluids, do not contact the fluids without proper personal protection. G. Notify leadership of any incident requiring transportation of staff. 8. Prepared By: Zach Baker, Situation Unit Lead & Time: 05/08/2018 15:00:00 9. Reviewed by: Scott Hutchins, Planning Section Chief & Time: 16:00:00
FEMA ICS FORM 206 MEDICAL PLAN 3. Operational Period: 05/19/2018 0700 to 05/22/2018 0700 1. FEMA Disaster Number: FEMA-4363-DR-IN 2. Description: Harrison County 4. Medical Aid Stations Name Division Locations Phys Para No No 5. Ambulance Services Name Division Address Phone Para EMT HARRISON COUNTY HOSPITAL EMS 1141 HOSPITAL DR NW, CORYDON, IN 47112 USNG:16S EH 74583 32674 6. Hospitals 911 Yes Yes Name Division Address Phone Helipad Trauma HARRISON COUNTY HOSPITAL ST. VINCENT SALEM HOSPITAL 1141 HOSPITAL DR NW, CORYDON, IN 47112 USNG:16S EH 74583 32674 911 N SHELBY ST, SALEM, IN 47167 USNG:16S EH 77671 74612 Burn 812-738-4251 No No No 812-883-5881 Yes No No 7. Medical Emergency Procedures A. Report medical emergencies by calling 911 B. Notify your supervisor of EMS summoning and the location of the ill or injured person. C. You may provide needed medical services to the victim within the scope of your training. D. Do not transport a sick or injured employee in your vehicle. Call 911. E. Do not move a victim with suspected spinal injury unless it is from a life threatening environment. F. If the emergency involves bodily fluids, do not contact the fluids without proper personal protection. G. Notify leadership of any incident requiring transportation of staff. 8. Prepared By: Edward Diaz, Situation Unit Lead & Time: 05/16/2018 12:08:37 9. Reviewed by: Scott Hutchins, Planning Section Chief & Time: 16:00:00
FEMA ICS FORM 206 MEDICAL PLAN 3. Operational Period: 05/19/2018 0700 to 05/22/2018 0700 1. FEMA Disaster Number: FEMA-4363-DR-IN 2. Description: Jefferson County 4. Medical Aid Stations Name Division Locations Phys Para 5. Ambulance Services Name Division Address Phone Para EMT Engine House N., 2 Fire Department C 104 West 3rd Street, Madison, IN 47250 USNG:16S FH 40749 88892 812-265-3338 Yes No 6. Hospitals Name Division Address Phone Helipad Trauma Kings Daughters Hospital First Stop Urgent Care Hours: 8 am - 8 pm: Sun - Sat C C 1373 East State Road, Madison, In 47250 USNG:16S FH 41959 96637 311 Easst Clifty Drive, Madison IN 47250 USNG:16S FH 39662 93040 Burn 812-801-0800 No No No 812-274-2742 No No No 7. Medical Emergency Procedures A. Report medical emergencies by calling 911 B. Notify your supervisor of EMS summoning and the location of the ill or injured person. C. You may provide needed medical services to the victim within the scope of your training. D. Do not transport a sick or injured employee in your vehicle. Call 911. E. Do not move a victim with suspected spinal injury unless it is from a life threatening environment. F. If the emergency involves bodily fluids, do not contact the fluids without proper personal protection. G. Notify leadership of any incident requiring transportation of staff. 8. Prepared By: Loretta Valentine, Safety Officer & Time: 05/16/2018 09:55:10 9. Reviewed by: Scott Hutchins, Planning Section Chief & Time: 16:00:00