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Forms

Public Assistance Program

​Application Forms:

Cal EMA 89 - Grant Assurances (.pdf) - This is a required document for all federal disaster assistance grants.

Cal EMA 95 - List of Projects (.xls) - This Excel form used to submit an applicant's List of Projects for federal disaster assistance.

Cal EMA 126 - CDAA Application (.pdf) - Project Application and Assurances for California Disaster Assistance Act (CDAA) Program.  This is a required document for all state only disaster assistance.

Cal EMA 130 - Designation of Applicant's Agent Resolution (.pdf) - This is a required document for all state and federal disaster assistance.

Cal EMA 130 SA - Signature Authority Form (.pdf) - This is a required document for all state and federal disaster assistance.

Cal EMA 131 - Large Project Reimbursement Request Form (.pdf) - Used for all disasters prior to DR-1498.

Cal EMA 132 - Large Project Reimbursement Request Form (.pdf) - Used for all disasters from DR-1498 and onward.

Std. 204 - Payee Data Record - Form required for all non-governmental entities.

FEMA Request for Public Assistance (FEMA Form 90-049) (.pdf) - Request for Public Assistance for federal disaster assistance.

Request for Fire Assistance Grant (FEMA Form 90-133) (.pdf) - Application for the federal Fire Management Assistance Grant program.

Fire Management Assistance Questionaire (.pdf) - This is a required document for the Fire Management Assistance Grant program.
 
Information Sheets:
DUNS Number Information Sheet (.pdf)- Information on how to obtain a Dun and Bradstreet Number (DUNS); required from all applicants receiving federal grant funding.
 
Federal Assistance Requirement Information (.pdf) - Information sheet listing all documents required to receive federal PA funding.

Private Nonprofit (PNP) Program

Application Forms

Cal EMA PNP-2011-APP - Application (.pdf) - This is a required document for the State Private Nonprofit Organizations Assistance Program. 

Cal EMA PNP-2011-AAR - Authorized Agent Resolution (.pdf) - This is a required document for the State Private Nonprofit Organizations Assistance Program. 

Cal EMA PNP-2011-ACF - Activities Claim Form (.pdf) - This is a required document for the State Private Nonprofit Organizations Assistance Program.  

Std. 204 - Payee Data Record - Form required for all non-governmental entities.