San Benito-Monterey Unit

San Benito-Monterey Unit

ICS Position Qualifications System (PQS) Form

Name:

ICS Position:

Step #1

I am requesting to be certified as:

Trainee (T)

Trainees must complete ALL required prerequisite training, experience and be qualified in any prerequisite positions prior to being entered into ROSS, task book initiation or position performance. Refer to 4039.

Attach a copy of the requested ICS position requirements page.

Attach a current certificate for the ICS position being requested (Certification Date: ).

Attach a certificate for all required prerequisite training classes for

the ICS position being requested.

Have your Supervisor sign this form (Must be BC or above).

Qualified (Q) from a Trainee (T)

Attach ICS 225 (Incident Personnel Performance Rating) completed

for each trainee assignment (must be evaluated on a minimum of 2

incidents).

Attach the original, completed Position Task Book.

Have your Supervisor sign this form (BC or above).

Qualified (Q) (for ICS positions not requiring Trainee Assignments)

Employee must complete ALL required prerequisite training, experience and be qualified in any prerequisite positions prior to being entered into ROSS. Refer to 4039.

Attach a copy of the requested ICS position requirements page.

Attach a current Certificate for the ICS position being requested.

Attach a certificate for all required prerequisite training classes for the ICS position being requested.

Have your Supervisor sign this form (must be BC or above).

______

Battalion Chief or higher Signature Date

Step #2

Training Battalion Approval

My signature below indicate the employee meets the training and experience requirements for the ICS position requested as required in current CAL FIRE policy 4039.

______

Training Battalion Chief’s Signature Date

Notes:

Please enter employee in ROSS as Qualified

Please enter employee in ROSS as a Trainee

Step #3

Unit Chief Certification (ICS 100-300 Level)

My signature below indicates the San Benito-Monterey Unit executive staff has reviewed this PQS form and we approve of the employee being entered into ROSS for the indicated ICS qualification.

______

Unit Chief or Designee Signature Date

Notes:

Reason for rejection: ______

Return to BEU Training Battalion or Step #5 if Applicable

Step #4

Region Chief Certification (ICS 400 Level)

______

Region Chief or Designee Signature Date

Return to BEU Training Battalion

Step #5

ECC enters employee ICS qualification into ROSS

Entered by: Date:

Return to BEU Training Battalion

Revised on :August 25, 2014 In accordance with CAL FIRE Policy 4039