HOW TO GUIDE TO COMPLETING PUBLIC ASSISTANCE FORMS (PDF)

PRELIMINARY DAMAGE ASSESSMENT (PDA) Forms and Information

If you need assistance, please contact the Public Assistance Program at
253.512.7402
Counties and State agencies submit forms via e-mail to:
publicassist@emd.wa.gov, or fax 253.512.7405

• Request for Public Assistance (FEMA Form 90-49)(PDF)
• How to Guide for Completing the Request for Public Assistance form (PDF)

• State Disaster Assistance Application (EMD-131)(PDF)
• How to Guide for Completing the Disaster Assistance Application form (PDF)

• Designation of Applicant Agent Resolution (EMD)(PDF)
  
  Applicant Agent Designation Letter Sample (PDF)
  
• How to Guide for Completing the Designation of Applicant Agent form (PDF)

• Private Non-Profit Questionnaire (PDF)

• Debris Management Plan Template - upon request, PA Contacts

• Project Worksheet (FEMA Excel Form 90-91) - upon request, PA Contacts
  
  Instructions (PDF)

• Special Considerations (FEMA Form 90-120)(PDF)

• Applicant Fringe Benefits Calculation Worksheet (FEMA Form 90-128)(PDF)
  
  Instructions (PDF)

• Contract Work Summary Record (FEMA Form 90-126)
  
  Instructions (PDF)

• Force Account Equipment Summary Record (FEMA Form 90-127)
  
  Instructions (PDF)

• Force Account Labor Summary Record (FEMA Form 90-123)
  
  Instructions (PDF)

• Materials Summary Record (FEMA Form 90-124)
  
  Instructions (PDF)

• Rented Equipment Summary Record (FEMA Form 90-125)
  
  Instructions (PDF)

• Statement of Documentation and Final Inspection Form (EMD) (PDF)
• How to Guide for Completing SOD-FIR form (PDF)

• Small Project Completion Certification Form (PDF)

• A 19-1A Invoice Voucher (EMD)
• How to Guide for Completing a Payment Request (PDF)

• Public Assistance Quarterly Report (EMD)
• How to Guide for Completing a Quarterly Report (PDF)

• Time Extension Sample Letter (PDF)