Disaster Impact Assessment Form


The purpose of this form is to provide a format to collect information regarding the impact of a disaster on the local community. Impact information is important because it helps to illustrate the effect of the disaster on the whole community. Although data on the number of home/businesses involved and disaster costs are important, impact information is equally important because it depicts the human consequences of a disaster. Impact information also conveys the stress placed on local jurisdictions and non-governmental organizations in response to and recovering from the disaster.

It is understood that the status of the disaster response and recovery is ever changing; therefore it is important to indicate the date the information on this form was compiled. Updates to the information provided on this form may be requested.

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