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Frequently Used Forms

Here are the most commonly requested EMA forms. If you have a suggestion for another form that should be listed here, please contact us.

 

EMA Forms
Name Description pdf rtf other
Suspicious Substance Protocol Presentation Training presentation on Suspicious Substance Protocol. 83359-pdf 83359-ppt
2009 Homeland Security Grant Application: Equipment Use this form to apply for equipment funding 23147-doc
2009 Homeland Security Grant Application: Planning Use this form to apply for planning funds 23149-doc
2009 Homeland Security Grant Application: Training Use this form to apply for training funds 23150-doc
2009 Homeland Security Grant Application: Exercise Use this form to apply for exercise funding 23148-doc
2009 Homeland Security Grant Application: Summary/Narrative All 2009 HS Grant Applications must include this narrative 23364-doc
Local EMPG Program Guidance 2009 guidance for use of EMPG funds to enhance local capacity 62251-pdf 62251-62251-doc
Local EMPG Budget Worksheet 2009 Spreadsheet to calculate budgets and billing for local EMPG program 62252-xls
Local EMPG Eligible Costs 2009 Eligible costs as of October 1, 2008 (FFY 2009) 62254-pdf 62254-doc
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. 69937-69937-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 90-126 Contract Work Summary Use this Public Assistance Form to record contract work costs 67503-pdf 67503-xls
FEMA Form 90-128 Applicant's Benefits Calculation Use this Public Assistance Form to record personnel benefit costs 67505-pdf 67505-xls
Request for Public Assistance (RPA) Form 58595-pdf 58595-doc
ICS Form 205 CONOPS Maine ICS Radio Communication Plan adapted to utilize the Maine CONOPS Frequencies 59538-59538-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. 54043-54043-doc
CASM Baseline Spreadsheet This spreadsheet is the baseline for collecting data to meet the PSIC aplication requirements. 51455-51455-xls
Maine CEM Application Form Use this form to apply for Maine Certified Emergency Manager (CEM-ME) 53154-pdf 53154-doc
Form 75-5 FEMA/MEMA Standard Training Application Use this form to apply for any MEMA or FEMA training course. See also the Instructions for Form 75-5 28164-28164-pdf
Damage Assessment Form 7: Aroostook County Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency 15038-15038-pdf 15038-15038-doc
Damage Assessment Form 7: York County Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency 15041-15041-pdf 15041-15041-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. 15054-15054-pdf 15054-15054-doc
Damage Assessment Form 7: Franklin County Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. 15055-15055-pdf 15055-15055-doc
Damage Assessment Form 7: Knox County Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. 15056-15056-pdf 15056-15056-doc
Damage Assessment Form 7: Hancock County Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. 15057-15057-pdf 15057-15057-doc
Damage Assessment Form 7: Kennebec County Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. 15058-15058-pdf 15058-15058-doc
Damage Assessment Form 7: Lincoln County Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. 15059-15059-pdf 15059-15059-doc
Damage Assessment Form 7: Oxford County Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. 15060-15060-pdf 15060-15060-doc
Damage Assessment Form 7: Piscataquis County Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. 15061-15061-pdf 15061-15061-doc
Damage Assessment Form 7: Penobscot County Standard form used by municipalities to report damages after an emergency to the County Emergency Management Agency. 15062-15062-pdf 15062-15062-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) 25091-25091-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) 25092-25092-pdf
Damage Assessment Form 7 Instructions Guidance to assist communities in reporting damages via the Form 7 for their county 25090-25090-pdf

 

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Last update: Thursday, 29-Jan-2009 10:12:32 EST