| Name |
Description |
pdf |
rtf |
other |
| 1: HMGP Application Form |
Application form for 2013 Hazard Mitigation Grant Program funds. Application must contain this page, as well as Attachments 1A, 2A, 2B-1 through -4, 2C, 2D, 3A, 4A, 4B, 4C, 5, 7A, 7B, 8A and 8B. rev. 04/2013. |
|
|
57622-doc |
| Supervisor's Report of Injury |
Form to be completed by Supervisor or Team Chief in case of injury by a Special Teams member. See Special Teams Guidance for Worker's Compensation and Liability |
|
|
516530-doc |
| FEMA Form 90-126 Contract Work Summary |
Use this Public Assistance Form to record contract work costs |
67503-pdf |
|
|
| Maine CEM Application Brochure |
This brochure includes a form to order a Membership Application to become a Maine Certified Emergency Manager (CEM-ME) |
53154-pdf |
|
|
| 2012 EMPG Local SAMPLE work plan |
SAMPLE work plan for local consideration for the EMPG program. Jurisdictions should modify to fit their programs and priorities. |
128277-pdf |
128277-rtf |
|
| 2012 EMPG Local Program Guidance |
2012 guidance for use of EMPG funds to enhance local emergency management capacity |
62251-pdf |
|
|
| 2012 EMPG Sample Local Letter of Application |
2012 Sample letter for local jurisdictions to use to apply for EMPG funds. |
302275-pdf |
302275-rtf |
|
| 2012 EMPG Local Budget Worksheet |
2012 Local EMPG Budget Worksheet (Excel format): Use this worksheet to create and submit local budget for the Emergency Management Performance Grant (EMPG) |
|
|
428373-xls |
| 2012 Local EMPG Fact Sheet |
2012 Fact Sheet about the Emergency Management Performance Grant (EMPG) program |
428363-pdf |
428363-rtf |
|
| 2011 EMPG Local and Partner Billing Sheet |
Use this spreadsheet to create a cover sheet for loca and partner agency EMPG billings. County EMAs may also use this for special project EMPG billings. |
|
|
326654-xls |
| 2011 SERC Facility letter |
Letter sent to facilities describing filing and fee reports for hazardous materials inventories. Also used by Homeland Security grant applicants to review requirements. |
318010-pdf |
|
|
| 2011 HSGP Application Form |
Use this form to apply for 2011 Homeland Security Grant Program funds. NOTE: This form requires use of free Adobe® Reader software and an e-mail account. rev. 10/27/2011 |
140109-pdf |
|
|
| County EMA Work Plan Reporting Guidance |
Guidelines for Counties to use in preparing quarterly work plan progress reports. |
312080-pdf |
|
|
| County EMA Staff Training/Exercise Tracking Form |
Form to track FEMA-requested staff training and exercise information. |
|
|
312081-xls |
| EMPG Job Aid: Documenting In-Kind Match |
FEMA’s Emergency Management Performance Grant (EMPG) allows the use of in-kind resources as a match for grant funds. This job aid is provided to assist in identifying and documenting in-kind match for EMPG. |
224710-pdf |
224710-rtf |
|
| EAS Activation Request Form |
Use this form to request State level activation of the Emergency Alert System (EAS). |
145584-pdf |
|
145584-doc |
| Small Project Summary Certification Form |
Use this form to certify to completion of Public Assistance small projects |
98530-pdf |
|
98530-doc |
| Request for Public Assistance (RPA) Form 90-049 |
|
58595-pdf |
|
|
| Suspicious Substance Protocol Presentation |
Training presentation on Suspicious Substance Protocol. |
83359-pdf |
|
83359-ppt |
| Special Response Team Member Qualification Form |
Form to be used by Team Chiefs to record team members qualifications. Important for worker's comp and liability issues. |
|
|
69937-doc |
| Employee's Report of Injury |
Form to be completed in case of injury by a Special Teams member. See Special Teams Guidance for Worker's Compensation and Liability |
|
|
73178-doc |
| Interoperable Communications Survey |
Communications Assesment as it pertains to the 5 areas of interoperable communications. Please complete prior to April 1st, 2009. |
|
|
69037--doc |
| FEMA Form 90-123 Force Account Labor Summary |
Use this Public Assistance Form to record personnel costs |
67499-pdf |
|
67499-xls |
| FEMA Form 90-127 Force Account Equipment Summary |
Use this Public Assistance Form to record Equipment costs for equipment you own |
67500-pdf |
|
67500-xls |
| FEMA Form 90-124 Materials Summary Record |
Use this Public Assistance Form to record Materials costs |
67501-pdf |
|
67501-xls |
| FEMA Form 90-125 Rented Equipment Summary |
Use this Public Assistance Form to record Rented Equipment costs |
67502-pdf |
|
67502-xls |
| FEMA Form 90-128 Applicant's Benefits Calculation |
Use this Public Assistance Form to record personnel benefit costs |
67505-pdf |
|
67505-xls |
| ICS Form 205 CONOPS Maine |
ICS Radio Communication Plan adapted to utilize the Maine CONOPS Frequencies |
|
|
59538-doc |
| ICS Form 205-A (Optional) Maine |
This form is used to capture on scene communications. This form augments the ICS Form 205 by including other communication mediums other than radio. |
|
|
54043-doc |
| Form 119-25-1 FEMA/MEMA Standard Training Application |
Use this form to apply for any MEMA or FEMA training course. Previously was Form 75-5. Social Security Numbers no longer required. |
28164-pdf |
|
|
| Damage Assessment Form 7: Aroostook County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency |
15038-pdf |
|
15038-doc |
| Damage Assessment Form 7: York County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency |
15041-pdf |
|
15041-doc |
| Damage Assessment Form 7: Androscoggin County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. |
15053-pdf |
|
15053-doc |
| Damage Assessment Form 7: Cumberland County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. |
15054-pdf |
|
15054-doc |
| Damage Assessment Form 7: Franklin County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. |
15055-pdf |
|
15055-doc |
| Damage Assessment Form 7: Knox County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. |
15056-pdf |
|
15056-doc |
| Damage Assessment Form 7: Hancock County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. |
15057-pdf |
|
15057-doc |
| Damage Assessment Form 7: Kennebec County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. |
15058-pdf |
|
15058-doc |
| Damage Assessment Form 7: Lincoln County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. |
15059-pdf |
|
15059-doc |
| Damage Assessment Form 7: Oxford County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. |
15060-pdf |
|
15060-doc |
| Damage Assessment Form 7: Piscataquis County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. |
15061-pdf |
|
15061-doc |
| Damage Assessment Form 7: Penobscot County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. |
15062-pdf |
|
15062-doc |
| Damage Assessment Form 7: Somerset County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. |
15063-pdf |
|
15063-doc |
| Damage Assessment Form 7: Sagadahoc County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. |
15064-pdf |
|
15064-doc |
| Damage Assessment Form 7: Waldo County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. |
15065-pdf |
|
15065-doc |
| Damage Assessment Form 7: Washington County |
Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. |
15066-pdf |
|
15066-doc |
| Situation Report: County/Local |
Form to summarize current emergency situation for submission to county (for locals) or state (for counties, if not using WebEOC) |
25091-pdf |
|
|
| Request for Assistance Form |
Form to use in requesting emergency resources from the County (for locals) and State (for counties, if not using WebEOC) |
25092-pdf |
|
|
| Damage Assessment Form 7 Instructions |
Guidance to assist communities in reporting damages via the Form 7 for their county |
25090-pdf |
|
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