Disaster Impact and 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

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).

​Disaster Impact Assessment Form​​

 

Individual Assistance Forms​

 

Public Assistance Form​

 

Additional Information​

 
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