Use this form to enter personal or organization information, fitness level, training, qualifications or experience (white unshaded, double-lined areas are required). Key data in table sequence. Reference Data must already have been entered. Easiest to mass-enter people first, then fitness, before entering the rest of an individual’s data.	Date of Update:
SECTION 1 – Person/Organization Information (record only changed information)
Person ID:	Last Name:	First Name:	Middle Initial:
Job Title:	Employment Status:	Full-time Employee	Emergency Firefighter
Organization:	State-NWCG: VA-VAS	Org Level 1: DOF	Org Level 2 (Unit):	Org Level 3 (County):	Org Level 4:
Home Address:
City:	State:	Zip:
(Click the Update Record Now button after required fields are entered)
Primary Jet Port:	Secondary Jet Port:
Fax:	Pager:
Home Phone:	Work Phone:
Cell Phone:	Work Phone 2:
E-mail:	Birth Month/Day:
Gender:	Male	Female	Blood Type:	Allergies:
Height:	Weight:	Clothing Size:	Medications:
Emergency Contact (*Mandatory):	Name:	Relationship:
Cell Phone:	Home Phone:	Work Phone:

SECTION 2 – Fitness
Fitness Level:	Arduous	Moderate	Light	None
Certifier:	Effective Date (omit for None):
Comments:

SECTION 3 – Task Books in Progress
Qual	Risk	Date Issued	Issuer	Date Completed	Comments

SECTION 4 – Training and Planned Training	Name:
Course	Risk	Priority	Planned Date	Date Completed	Score	Instructor	Location	Hours	Comments

SECTION 5 – Qualifications	Name:
For the Experience portion of IQS to function properly, list all positions an employee is qualified for; positions with no Position Priority will not print on the incident card – maximum of 7 prints.
Type (JOB/TRN/SKILL)	Qual	Risk	Effective Date	Certifier	Qual Level (Natl, State, Local)	Priority	Comments
SECTION 6 – Experience	Name:
Type (JOB/TRN/OJT)	Qual	Risk	Incident Number	Experience Date	Oper. Periods (or # of IA Fires)	Evaluation (S/U/N)	Comments