Forms & Useful Lists
Following are forms and worksheets for local agencies to use when applying for funding and doing other needed tasks for their Emergency Relief funded projects. Forms without links are “coming soon” and, in the meantime, may be obtained by contacting your DLAE.
Forms
- Initial Damage Estimate (IDE) Form (Excel)
- Damage Assessment Form (DAF) – Cover Sheet (PDF)
- DAF Engineers Estimate (PDF)
- DAF Sketch, Photos, Narrative Sheet (PDF)
- Betterment Benefit-Cost (B/C) Analysis and Justification Form (Excel)
- Emergency Relief (ER) Project Log Sheet (PDF)
- Request For Authorization (RFA) to Proceed with Preliminary Engineering (PE) (Word)
- Request For Authorization (RFA) to Proceed with Right of Way (RW) (Word)
- Request For Authorization (RFA) to Proceed with Utility Relocation (UTIL) (Word)
- Request For Authorization (RFA) to Proceed with Construction (CON) (Word)
- Request For Authorization (RFA) to Proceed Data Sheet (Word)
- Emergency Relief (ER) Finance Letter (Excel)
- Permanent Repairs Using Emergency Opening (a.k.a. PR under EO) Procedures Certification Sample (Word)
- Permanent Repairs Using Emergency Opening (a.k.a. PR under EO) Procedures Economic Analysis (Excel)
- Exhibit 11-M: Preliminary Estimate of Cost (Word)
- Exhibit 11-N: PS&E Certification (Word)
Other useful information (worksheets, templates, and lists)
For project specific and call for projects questions, please contact your:
For general program questions you may contact:
Daniel Karavan (Districts 1,2,3)
Dalton LaBoskey (Districts 4,8,9)
Anmol Mishra (Districts 5,6,10)
Jasdeep Sandhu (Districts 7,11,12)
For Final Voucher or Statement of Final Cost Inquireries to CalOES:
Disasterrecovery@Caloes.Ca.gov
Please feel free to send comments regarding this web site to the DLA Webmaster.