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  Initial Damage Assessment Forms   

The Initial Damage Assessment forms and accompanying instructions provided by the Illinois Emergency Management Agency (IEMA) can be accessed at the links below. The forms are to be used by local jurisdictions to document both Individual Assistance (IA) and Public Assistance (PA) damage information following a disaster. Please disregard all previous forms as these are the only forms that IEMA will accept. All comments and questions should be directed to your IEMA Regional Office.

Impact Assessment Form NEW

The Disaster Impact Assessment Form is used to report impacts of the disaster on the local jurisdiction. This form must be submitted with your IA and PA damage assessment forms that document residential and business damages (IA) and/or Category A-G damages (PA).

Adobe Acrobat Reader or Pro is required to open the above document. See the link below to download Acrobat Reader. The document is a fillable document and can be saved and printed.

Individual Assistance Forms

There are two options for accessing the IA forms:

  1. Excel 03 (or newer) is required to open, save and print the Excel forms. Word 03 (or newer) is required to open, save and print the Word instruction documents.
  2. If Excel 03 and/or Word 03 (or newer) are not available, there are links at the bottom of this page to download free copies of the Excel Viewer and/or the Word Viewer. The Excel Viewer will allow the Excel forms to be opened and printed. The Excel forms would then be completed manually. The Word Viewer will allow the Word instruction documents to be opened and printed. Using the Viewers does not allow the Excel forms and/or the Word instructions to be saved.
Public Assistance Form

Adobe Acrobat Reader or Pro is required to open the above document. See the link below to download Acrobat Reader. The document is a fillable document and can be saved and printed.


Additional Information

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Get Word Viewer
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Disaster Preparedness, Response & Recovery

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