GENERAL INFORMATION
County: Organization:  
Type of Event: Date of Event From:

To:
 
Contact Name: Phone Number: (XXX)XXX-XXXX Email Address:

 

COST INFORMATION


Enter costs for under each category (see checklist) and then total costs for each location and category. For more information about the Public Assistance Program, please refer to the information on our website www.illinois.gov/iema/LocalEMA/Pages/PublicAssistance.aspx or call any member of our Public Assistance staff at 217-782-8719.

INITIAL DAMAGE ASSESSMENT CHECKLIST

Category A - Debris Removal (on public property only)

Category B - Emergency Protective Measures

Category C - Road and Bridge Systems

Category D - Water Control Facilities (only facilities built specifically for flood control)

Category E - Buildings and Equipment

Category F – Utility Systems

Category G - Parks, Recreational and Other

Print
Return to Top