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Recovery Center  

Public Assistance

Requesting Public Assistance: Instructions and Forms

New FEMA Public Assistance Pilot Program Documents

• Program Guidance for FEMA, State and Local Officials [472kb PDF]
• Frequently Asked Questions [2mb PDF]
• Fact Sheet [29kb PDF]
• Debris Management Plan Outline [10kb PDF]
• Increased Federal Share Incentive Checklist [48kb PDF]
• Outreach Presentation [6.7mb PPT]

Debris Information/Updates for Localities

• FEMA Public Assistance Debris Management Guide - FEMA 325 [opens in a new browser window]
• FEMA Policy for Hazardous Stump Extraction and Removal Eligibility [1.2mb PDF]
• FEMA Fact Sheet for Debris Monitoring [2.3mb PDF]
• FEMA Policy for Debris Operations - Hand-Loaded Trucks and Trailers [92kb PDF]
• FEMA Fact Sheet on Debris Removal (Applicant's Contracting Checklist) [39kb PDF]

Request for Public Assistance: Forms

The following forms are required to be submitted for Public Assistance:

• FEMA Form 90-49: Request for Public for Public Assistance [162kb PDF]
• State/Grantee-Sub Grantee Disaster Assistance Agreement [39kb doc]
• Designation of Applicant's Agent Form [59kb doc] or Designation of Applicant's Agent Letter [29kb doc]
• FEMA Form 20-16: Summary Sheet for Assurances and Certifications [138kb xls]
• Standard Form 424: Application for Federal Assistance [807kb PDF]
• Instructions for Standard Form 424: Application for Federal Assistance [32kb PDF]

Private Non-Profit Facilities are required to submit a copy of their 501C Certification from the Internal Revenue Service with their Request for Public Assistance. In addition, PNP Facilities are required to submit the following forms:

• FEMA Form 90-121: PNP Facility Questionnaire [370kb PDF]
• Private Non-Profit Organization Certification [16kb pdf]

Additional Public Assistance Forms and Information:

• Change of Applicant's Agent Form [39kb doc]
• FEMA Form 90-120: Special Consideration Questions [391kb PDF]
• FEMA Form 90-123: Force Account Labor Summary Record [72kb xls]
• FEMA Form 90-126: Contract Work Summary Record [60kb xls]
• FEMA Form 90-127: Force Account Equipment Summary Record [59kb xls]
• FEMA Schedule of Equipment Rates [71kb xls]
• Project Progress Report [31kb doc]
• Request for Alternate Project [39kb doc]
• Request for Improved Project [39kb doc]
• Request for Project Time Extension [34kb doc]

Project Worksheet Forms:

• FEMA Form 90-91/90-91C: Project Worksheet [81kb xls]
• FEMA Form 90-91A: Project Worksheet - Damage Description and Scope of Work Continuation Sheet [85kb PDF]
• FEMA Form 90-91B: Project Worksheet - Cost Estimate Continuation Sheet [112kb PDF]
• FEMA Form 90-91D: Project Worksheet - Photo Sheet [85kb PDF]
• FEMA Form 90-124: Materials Summary Record [61kb xls]
• FEMA Form 90-125: Rented Equipment Summary Record [61kb xls]
• FEMA Form 90-128: Applicant's Benefits Calculation Worksheet [69kb xls]

FEMA Regulations:

• Public Assistance Policy Digest -- FEMA-321 [1.4mb pdf]
• Public Assistance Guide -- FEMA-322 [1.6mb pdf]
• Applicant Handbook -- FEMA-323 [2mb pdf]

Public Assistance Program Planning Documents

• Administrative Plan for the Public Assistance Grant Program [274kb PDF]
• Commonwealth of Virginia Emergency Services and Disaster Law [113kb PDF]
• Emergency Relief to Localities Program Guidance [64kb PDF]