Emergency Management Accreditation Program (EMAP) seal

Incident Status Report

For Emergency Managers Only

Instructions: As soon as possible fill in as much information as you currently know. Other information can be gathered as it becomes available. Please fill all of the information areas, put unknown in areas where you have no information and none where there is no damage or impact.

General Information












Is State Assistance Needed?



EOC Activated?


Disaster Declaration?


Local Actions


Evacuation Ordered?



Law Enforcement Deployed?


Fire Fighters Deployed?


Rescue Workers Deployed?


Public Works Deployed?




Disaster Impacts

Number of...








Special Needs Citizens Identified and Cared for?


Comfort Locations for Emergency Workers Established?

Number of Structures Damaged

Minor - Building is damaged and may be used under limited conditions with minor repairs.

Major - Building is damaged to the extent that it is no longer usable and may be returned to service only with extensive repairs.

Destroyed - Building is a total loss or damaged to the extent that it is no longer usable and is not economically feasible to repair.

Homes





Public Buildings





Business/Industry Buildings





Status of Services





Impact on Critical Facilities












The NEMA duty officer will acknowledge receipt of Incident Status Reports with a return email that includes a copy of the submitted form.