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Governor's Office of Homeland Security & Emergency Preparedness
7667 Independence Blvd.
Baton Rouge, LA 70806
(225) 925-7500


Public Assistance Forms

Some files are in Adobe Acobat (PDF) (About Adobe Acrobat) format. If you don't already have it; you will need to download Adobe's free Acrobat Reader to view the documents.

Applicant's Benefits Calculation Worksheet - MS Word Document
Contract Work Summary Record - MS Word Document
FEMA Applicant Workbook - MS Word Document  424.50KB
 FEMA Applicant Workbook Contents   
Request For Public Assistance Form
FEMA Form 90-49, SEP 98
Project Worksheet Instructions 
FEMA Form 90-91(BACK), SEP 98
Project Worksheet
FEMA Form 90-91, SEP 98
Damage Description & Scope Of Work Continuation Sheet
FEMA Form 90-91A, SEP 98
Cost Estimate Continuation Sheet
FEMA Form 90-91B, SEP 98
Maps & Sketches Sheet
FEMA Form 90-91C, SEP 98
Photo Sheet
FEMA Form 90-91D, SEP 98
Special Consideration Questions
FEMA Form 90-120, NOV 98
PNP Facility Questionnaire
FEMA Form 90-121, NOV 98  
Applicant Record Keeping Instructions
 
Force Account Labor Summary Record Instructions
 
Force Account Labor Summary Record
FEMA Form 90-123, NOV 98
Materials Record Summary Instructions
 
Materials Record Summary
FEMA Form 90-124, NOV 98
Rented Equipment Summary Record Instructions
 
Rented Equipment Summary Record
FEMA Form 90-125, NOV 98
Contract Work Summary Record Instructions
 
Contract Work Summary Record
FEMA Form 90-126, NOV 98
Force Account Equipment Summary Instructions
 
Force Account Equipment Summary
FEMA Form 90-127, NOV 98
Fringe Benefit Rate Instructions
 
Applicants Benefits Calculation Worksheet
FEMA Form 90-128, NOV 98
Hazard Mitigation Proposal (HMP)
FEMA Form 90-61, AUG 98
Site Summary Of Costs\
 

 Force Account Equipment Summary Record
 MSWordIcon  MS Word Document

 Force Account Labor  
 
MSWordIcon  MS Word Document

 Historic Review Assessment for Determination of Effect
 MSWordIcon  MS Word Document

 Material Summary Record
 MSWordIcon  MS Word Document

 PNP Facility Questionnaire
 MSWordIcon  MS Word Document

 Project Validation Form
 MSWordIcon  MS Word Document

 Project Worksheet - Cost Estimate Continuation Sheet  
 
MSWordIcon  MS Word Document

 Project Worksheet - Maps & Sketches Sheet
 MSWordIcon  MS Word Document

 Project Worksheet - Photo Sheet
 MSWordIcon  MS Word Document

 Project Worksheet Damage Description & Scope of Work Continuation Worksheet
 MSWordIcon  MS Word  Document

 Project Worksheet Instructions  
 
MSWordIcon  MS Word Document

 Project Worksheet
 MSWordIcon  MS Word Document

 Rented Equipment Summary Record
 MSWordIcon  MS Word Document

 Request of Public Assistance
 MSWordIcon  MS Word Document   

 Sample Debris Aid/Contract Appendix

 Special Considerations
 MSWordIcon  MS Word Document

 Validation Worksheet
 MSWordIcon  MS Word Document

 Designation of Applicant AGT  
 
MSWordIcon  MS Word Document  19K

 SF 424D - Assurances-Construction Program
  MSWordIcon  MS Word Document   40K

 W-9 Worksheet
 

 W-9 Instructions
 

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 Related Information
FEMA
Discovery Recovery Index
Public Assistance-Debris Removal Fact Sheet
Public Assistance Administrative Plan 04-05 (MS Word Document)
Public Assistance Administrative Plan Annex A 04-05 (MS Word Document)
Public Assistance Applicant's Handbook
State Hazard Mitigation Plan
Federal Response Plan

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