Webform Run number: Date of Incident Person submitting this form: Email of Person Submitting Form Location of Incident: What type of incident? structure fire wildland fire vehicle accident false alarm smoke report medical call rafting/water/ice accident mitigation/slash burning/chipping community service vehicle fire other What stations responded? Station 1 Station 2 Station 3 Station 4 What vehicles were used in the operation? E 611 E 612 E 311 Rescue 1 Rescue 2 E 621 E 622 T 321 E 641 E 645 E 241 E 631 Squad Personal Vehicle Support Vehicle Which volunteers participated from Station 1? 115 Daniel Albano 117 Jordan Alexander 124 Chad Bertram 125 Nicole Bertram 123 Kellie Falbo 147 Tony Falbo 116 Mike Fernald 141 Dominic Gambone 128 Boots Jaffee 130 Amy Maddox 118 Brian Maddox 131 Daniel Maddox 199 Gene Mericle 126 Andy Metten 122 Rob Overstreet 170 Rick Stonecipher 126 Jim Wright 177 Mike Wyman 129 Drew Zweifel Which volunteers participated from Station 2? 210 Tom Allen 223 Daniel Bond 249 Greg Danhoff 224 Jared Glassen 260 Joe Jay 205 Marv Keller 222 Hugh Mackay 220 Becky McGraw 221 Paul McGraw 246 Darwin Ottoson 203 Bob Stahl 225 Jacob Udel 217 Greg Venette 215 Brady Warner 214 Jerry Zapp Which volunteers participated from Station 3? 301 James Ingram 303 Brett Ridges 304 Tasha Collins 305 Andy Collins Which volunteers participated from Station 4? 402 Bette Blinde 404 Hugh Collins 405 Paula Collins 416 Buz Elden 408 Cheryl (Mickey) York 403 Dave Young 410 John Zumbro 411 Paula Zumbro List any other people responding. Describe the incident: Describe the incident, i.e., how did the fire start, how many acres burned, how many cars and patients in the vehicle accident, what you did, etc. Mutual aid provided to: Mutual aid was received from: Larimer County Emergency Service - Search & Rescue, Dive Team, Etc. Rist Canyon VFD Glacier View VFD Red Feather Lakes VFD Crystal Lakes VFD Jackson County Poudre Fire Authority Time paged out: Time arrived on scene: Time incident controlled: Time back in service: Total time of incident: Patient Tranport Miles Save Draft Submit
