Examples of Billing Statements. When a fire department bills for a wildland fire or prescribed burn the costs should be submitted on a Fire Suppression Cost Statement. The white copy of the Crew Time Reports (CTR) should also be attached. The appropriate CTR is the South Dakota State Crew Time Report, form # AS- DCF100/95, an example is below. Fire Suppression Cost Statement: On Out-of-State or large Incidents fire departments may submit a completed Fire Suppression Cost Statement in addition to the completed Emergency Equipment Invoice (OF-286) and Emergency Firefighter Timesheets (OF-288). In addition to the above mentioned documents the white copy of the Crew Time Reports (CTR’s), receipts for lodging, and a copy of the resource order. The appropriate CTR is the South Dakota State Crew Time Report, form # AS- DCF100/95, an example is below. Emergency Firefighter Time Report (OF-288): Emergency Equipment Use Invoice (OF-286): South Dakota Crew Time Report: Form #: AS-DCF100/95 Crew Time Report, AS-DCF100/95 South Dakota AG- DCF100/96 FIRE DEPARTMENT CREW/EQUIPMENT TIME REPORT CREW NAME (VOL FIRE DEPT)(1) FIRE NAME (2) FIRE NUMBER (3) MILITARY TIME MILITARY TIME ON OF F ON OFF EQUIPMENT (8) UNIT (9) ON OF F ON OFF OFFICER IN CHARGE (SIGNATURE) (10) TITLE OF OFFICER IN CHARGE (11) NAME (Person Posting to Emergency Time Report )(12) DATE (13) White Copy - To accompany the appropriate billing documents to the South Dakota Wildland Fire Suppression Division. Yellow Copy - Retain at the fire scene by agency responsible for the fire (State or Forest Service).
