Damage Assessment Forms
Please fill in the Microsoft documents whenever possible to make it easier to read when you submit the forms. If you use the PDFs, please type or print legibly. Completed documents can be emailed to email@example.com
Local Damage Assessment Form PDF
Damage Report Survey Form Microsoft Excel PDF
Initial Damage Report Worksheet - Municipal Microsoft Excel PDF
Disaster Damage Assessment Field Worksheet - Individual Property Microsoft Excel PDF
Disaster Damage Assessment (Infrastructure Damage - Public Property) PDF
Small Project Estimating Guide Microsoft Word PDF
Completed Project Listing and Claim For Reimbursement Microsoft Word PDF
SBA Consolidation Workbook Microsoft Excel
Economic Injury Survey Form Microsoft Excel
Summary of Costs Worksheet Microsoft Word PDF
Field Observation Report - Click here
NIMS ICS Forms
ICS forms have been updated. Go to the FEMA website to download.
Effective March 1st, 2022 please use the revised form for Fire & EMS responders and Municipalities. Previous form no longer accepted.
Pass Tag Forms for Fire & EMS & Municipalities revised form (pdf)
Pass Tag Forms for Fire & EMS & Municipalities revised form (fillable pdf)
Pictures can be emailed in .jpg or .tif format to the addresses below.
Forms can be faxed to 717-267-2813 or emailed to Joanne Sheets at firstname.lastname@example.org
Local EMA Coordinator Forms
Request for Appointment of Municipal Emergency Management Coordinator