WildCAD Center Information

1 bighorn Information Systems, 2973 Harbor Blvd. #572, Costa Mesa, CA 92626 Please fax this form to: 714-200-0279 WildCAD Dispatch Center Information Complete Center Name: _____ Center Unit ID: _____ Web Site URL (if any): __http://_____ Mailing Address: _____ City: _____ State: ___ Zip: _____ Telephone Number For bighorn To Call In: _____ Fax: _____ Center Manager: _____ Phone: _____ Email: _____ Asst Center Mgr: _____ Phone: _____ Email: _____ WildCAD Sys Administrator: _____ Phone: _____ Email: _____ Center Provides Dispatching For What Units (Nat'l Forest, BLM Field Ofc, State Unit, etc): _____ _____ _____ _____ _____ _____ _____ _____ Number of Permanent Personnel by Agency: USFS ___ BLM ___ BIA ___ NPS ___ USFWS ___ State ____ Other _____ Approximate Number of Fires Per Year: _____ Approximate LE Incidents Per Year: _____ Approximate Total Incidents Per Year: _____ WildCAD Server: ___ Dedicated Server, or ___ One of the Dispatch Computers Other Center personnel.

2 _____ _____ _____ _____ _____ _____ _____ _____ Current Software Version (Utilities-About): _____ Submitted By: _____ Date: _____