Optional Form 289 (OF 289): Property Loss or Damage Report, Fire Suppression

Optional Form 289 (OF 289), Property Loss or Damage Report, Fire Suppression, is a one-page report on property lost or damaged in fire suppression. Its footer prints OPTIONAL FORM 289 (9-81) and USDA/USDI, with NSN 7540-01-124-7634. GSA hosts a copy in its forms library.

The form identifies the crew, the fire and the person the property was issued to, lists up to three items with quantities, and then gives space for three reports: the employee's account of the loss or damage, a witness report, and comments from the Fire Boss or Property Control Officer. Each report has its own signature and date.

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Top of page 1 of Optional Form 289 (OF 289): Property Loss or Damage Report, Fire Suppression, as printed by GSA

What's on OF 289

Blocks 1 to 4: crew and issue

Crew name or number, the ID number from Form OF-288 (Emerg. Firefighter Time Report), who the property was issued to, and the issuing office or camp.

Blocks 5 to 7: fire and employee type

Fire name, fire number, and the type of employee, marked with an X.

Block 8: property lost or damaged

Three lines, a to c, describing each item, including the property number if applicable, with a quantity column.

Blocks 9 to 14: employee and witness reports

The employee's report on the circumstances, then a witness report, each with a signature and date.

Blocks 15 to 18: Fire Boss or Property Control Officer

Comments regarding the loss or damage, with signature, title and date.

How to complete OF 289

1
Identify the crew and fire
Fill in the crew name or number, the issuing office or camp, the fire name and the fire number.
2
Name who the property was issued to
Enter the name and address in block 3 and the OF-288 ID number in block 2, and mark one type of employee in block 7 with an X.
3
List the property
Describe each item lost or damaged on lines a to c of block 8, with the property number if applicable and the quantity.
4
Write the employee report
Describe the circumstances of the loss or damage in block 9, then sign and date in blocks 10 and 11.
5
Add the witness report
A witness writes a report in block 12 and signs and dates it in blocks 13 and 14.
6
Get the Fire Boss or Property Control Officer comments
Block 15 is for their comments, with their signature, title and date in blocks 16 to 18.

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Where it goes and what the form says

Where it goes

The PDF prints no address or routing instructions. Its last block is for comments from the Fire Boss or Property Control Officer.

Link to OF 288

Block 2 asks for the ID number from Form OF-288, which the form calls the Emerg. Firefighter Time Report.

Edition and stock number

The footer prints OPTIONAL FORM 289 (9-81), USDA/USDI and 50289-101, and NSN 7540-01-124-7634. GSA's page gives a current revision date of 09/1981.

Privacy and burden

The PDF prints no Privacy Act notice and no OMB number.

Who fills out OF 289?

The person the property was issued to
Block 3, Issued To, holds a name and address. Block 7 marks the type of employee: Regular Gov't, Casual Firefighter or Other.
The employee reporting the loss
Block 9 is the employee report on circumstances of loss or damage to the property listed, signed in block 10 and dated in block 11.
A witness
Block 12 is a witness report, signed in block 13 and dated in block 14.
The Fire Boss or Property Control Officer
Block 15 holds their comments regarding the loss or damage, with signature, title and date in blocks 16 to 18.

The form has three report blocks, each signed and dated by a different person.

Official sources and the blank

Official GSA form page
The agency’s own page for Form OF289.
Blank PDF
The official blank form, to print or fill by hand.

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Questions about Form OF289

Who issues OF 289?

The footer prints USDA/USDI with OPTIONAL FORM 289 (9-81). GSA hosts a copy in its forms library.

Who signs OF 289?

Three people: the employee who reports the circumstances (block 10), a witness (block 13) and the Fire Boss or Property Control Officer (block 16), each with a date.

How many items can one OF 289 list?

Block 8 has three lines, a to c, each with a quantity column.

What ID number goes in block 2?

The form asks for the ID No. from Form OF-288, which it calls the Emerg. Firefighter Time Report.

Where do I send OF 289?

The PDF prints no address or routing and gives no filing instructions.

Optional Form 289 (OF 289): Property Loss or Damage Report, Fire Suppression