Click here to email completed form 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the disaster event name or type in the designated field. This helps categorize the damage assessment.
3. Fill in the name of the damaged site or business, and select whether it is government-owned or privately-owned.
4. Provide the location details including street address, city, state, zip code, and county. Ensure GPS coordinates are accurately entered if available.
5. Complete the contact information section with telephone numbers and email for follow-up communication.
6. Assess infrastructure issues by marking the estimated degree of damage for each facility or property listed and providing a loss estimate.
7. Report any agricultural chemical issues by specifying the type and describing any damage or spills.
8. Detail crop and animal issues, including affected crops, livestock counts, and descriptions of damages.
9. List resources used for response or recovery related to animal/agriculture issues in the provided section.
10. Finally, enter your name, telephone number, and email before submitting. Click on 'Email Form' at the top right corner to send your completed form directly from our platform.

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