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Disaster Impact Assessment Form

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This form is used to report the impacts of the disaster on the local jurisdiction.

  • General Information
  • Assessment section for impacted areas
  • Area to record impacted individuals

Recommended for emergency environmental public health practitioners working at the state, tribal, local, and territorial level.

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M

2/6/2024 1:11 pm

Useful, but needs to be updated

This form can be used by any jurisdiction to document disasters. It would be a good framework for information if your jurisdiction did not have a form available. Easily fillable form. Some of the links appear to be outdated.