Arizona Division of Emergency Management (ADEM)

Home | Site Map | Contact Us | Forms & Publications

FORMS & PUBLICATIONS

Public Information | Preparedness | Operations | Recovery | Logistics

Public information

PRESS RELEASE | MEDIA ADVISORY | LETTER

Wallow Fire
Release Dates

Press Release:Governor Brewer Issues State of Emergency Declaration

June 6, 2011

Declaration: Governor Declaration of Emergency - Wallow Fire Emergency
June 6, 2011

Other Disaster-Related Press Releases
Release Dates

News Release: Trace Amounts of Radiation from Japan Detected in Arizona | Radiation Data in Arizona

Mar. 22, 2011

Press Release: SBA Extends Disater Assistance to Arizona Residents & Businesses Affected by Severe Winter Storms and Flooding
Feb. 3, 2011

Press Release: State Emergeny Management to Head Mutual Aid Task Force

Jan. 28, 2011

Press Release: Governor Jan Brewer Issues Emergency Declaration in Support of Mohave County

Jan. 27, 2011

Declaration of Emergency for December 2010 Flooding

Jan. 27, 2011

Press Release: Governor Brewer Requests Major Disaster Declaration of President Obama

Sep.16, 2010

Press Release: President Obama Approves Governor Brewer's Major Disaster Request | Coconino County News Release

Oct. 4, 2010

Press Release: Governor Jan Brewer Requests Disaster Declaration from President - Federal Assistance Requested for Havasupai Tribe

Dec. 1, 2010

If you cannot find the press release/media advisory you are looking for, please view the archive page.

Public Information | Preparedness | Operations | Recovery | Logistics

PREPAREDNESS

FORMS

State/FEMA Form No.	Form Name	File Ext
Exercise
ADEM Exercise Event Request		.doc
Training
ADEM Training Event Request		.doc
CERT Train-the-Trainer Event Request		.pdf
ADEM Reimbursement Request		.doc
Instructor Travel Claim		.doc
ADEM Training Eligibility Endorsement		.doc
Subject Matter Expert Application		.doc
Homeland Security Grant Program - Request to Fund Training		.doc
Hazardous Materials Technician Course Registration Form		.doc
Communications Unit Leader (Comm-L) Course Registration Form		.doc
All Hazards Position Specific and Unit Leader Course Registration Form		.doc
Course Evaluation		.doc
Course Census		.doc
State Plans
SERRP Change Request		.xls
SERRP Basic Plan Template		.doc
SERRP Annex Template		.doc
SERRP Appendix Template		.doc
Emergency Management Accredidation Program
EMAP Overview		.ppt
EMAP 2007 Standards		.pdf
Accredidation Process Guide		.pdf
Candidate's Guide to Accredidation		.pdf
Assessing Your Emergency Management Program		.ppt
EMAP Assessor's Guide		.pdf
Frequently Asked Questions		.doc
Blank Program Assessment Report		.doc
Briefing Chart Template		.doc
Compliance Planning Tool		.xls
COOP Crosswalk		.xls
Corrective Action Planning Form		.pdf
EMAP Documentation Set-up		.doc
EMAP Pre-Assessment Activity		.doc
EMAP Self-Assessment Survey		.doc
Narrative Form Template		.doc
Pre-Assessment Standard Review		.doc
EMAP Resource Roadmap		.doc
EMAP Steps to Accredidation		.doc

PUBLICATIONS

Form Name	File Ext
Training Catalogs
FEMA (DHS) TEI (formerly G&T)	link
Approved State Sponsored	link
Approved Federal Sponsored	link
FEMA (DHS) Technical Assistance	link
Emergency Management Institute	link
Radiological Emergency Preparedness
PV 10-Mile Map	.pdf
PV 50-Mile Map	.pdf
Planning
SERRP	.pdf
NIMS Document	.pdf
National Response Framework	.pdf

Public Information | Preparedness | Operations | Recovery | Logistics

OPERATIONS

FORMS

State/FEMA Form No.	Form Name	File Ext
COOP MEETING/CONFERENCE MATERIALS
	COOP Conference Materials	.pdf
	Third Annual AZ State Government COOP Conference Presentation	.pdf
	2011 COOP Exercise Materials	.pdf
COOP GUIDES, TEMPLATES AND WORKSHEETS
	COOP Basic Development Guide v1.0	.pdf
	COOP Basic Job Aids v2.0	.pdf
	COOP Building Blocks v1.0	.pdf
	Executive Management Plan Template	.pdf
	Worksheet 1: Coop Program Management Team: Roles And Responsibilities	.doc
	Worksheet 3 Identifying Essential and Non‐Essential Functions	.doc
	Worksheet 3a: Recovery Time Objective (RTO) And Recovery Point Objective (RPO)	.doc
	Worksheets 3b‐1: Identifying Essential Functions	.doc
	Worksheets 3b‐2: Identifying the Processes Each Essential Function	.doc
	Worksheets 3b‐3: Identifying the Tasks for Each Essential Function	.doc
	Worksheet 4: Coop Team Employee Roster	.doc
	Worksheet 4a1: Functional Teams	.doc
	Worksheet 4a2: Orders of Succession / Delegation of Authority	.doc
	Worksheet 4b: Coop Team Call List Roster	.doc
	Worksheet 5: Alternate Facilities	.doc
	Worksheet 6: Executive Management Plan	.doc
	Worksheet 6a: Executive Management Plan Call List	.doc
	Worksheet 6b: Executive Management Plan‐Orders of Succession/Delegation of Authority	.doc
	Worksheet 6c Executive Management Plan & Alternate Facilities	.doc
	Worksheet 6d1 & 6d2: Executive Management Plan‐Essential Records	.doc
	Worksheets 7a & 7b: Essential Records	.doc
	Applications Supplemental Worksheet	.doc
	Documents Supplemental	.doc
	Equipment Supplemental Worksheet	.doc
	Hardware Supplemental Worksheet	.doc
	Vendors Supplemental Worksheet	.doc
Mitigation
SF-424	Application for Federal Assistance	.doc
	Coordinating Environmental Agencies	.doc
	Final Claim Form	.doc
	HMGP App Application	.doc
	HMGP Apllication Checklist	.doc
	HMGP Audit and Closeout Checklist	.doc
	HMGP Designation of Applicant Agent	.doc
	HMGP Eligibility Checklist	.doc
	HMGP Environmental	.doc
	HMGP Notice of Intent	.doc
	HMGP Project Solicitation	.doc
	Mitigation Measures Checklist	.doc
	Quarterly Report Form	.doc
	Request of Reimbursement	.doc
Operations/SEOC
SEOC202	SEOC202	.doc
SEOC204	SEOC204	.doc
SEOC207	SEOC207	.doc
SEOC214	SEOC214	.doc

PUBLICATIONS

Publications Name	File Ext
Mitigation
Arizona Citizens Brochure Cover \| Preparedness Tips \| Hazards	.pdf
Local Government Brochure Cover \| Grant Programs \| Hazards	.pdf
Manufactured Homes, Recreational Vehicles, Park Trailers, and Floodplains Brochure new!	.pdf
Arizona Flood Safe new!	.pdf
AZ Shakes - Seismic Hazard Awareness, Knowledge, and Education new!	.pdf
Wildfire and Flood Brochure new!	.pdf
HMGP Glossary	.pdf
HMGP Guidance	.pdf
Mitigation Plan List	.pdf
Newsletter, Volume 1 Edition 1	.pdf
Newsletter, Volume 1 Edition 2	.pdf
Newsletter, Volume 1 Edition 3	.pdf
Newsletter, Volume 1 Edition 4	.pdf
Newsletter, Volume 1 Edition 5	.pdf
Newsletter, Volume 1 Edition 6	.pdf
Newsletter, Volume 1 Edition 7	.pdf
State Hazard Mitigation Plan 2010	.html/.pdf

Public Information | Preparedness | Operations | Recovery | Logistics

RECOVERY

FORMS

Form Name

File Ext

Individual Assistance

IA PDA Property Report - English

.pdf

IA PDA Property Report - Spanish

.pdf

Degree of Damage

.pdf

ADEM IA PDA Field Form County Summary

.pdf

State/FEMA Form No.	Form Name	File Ext
Public Assistance
AZ PA 204-12	Applicant's Benefits Calculation Worksheet	.pdf
AZ PA 204-2	Application for State Assistance	.pdf
AZ PA 204-11	Contract Work Summary Record	.pdf
AZ PA 204-4	Designation of Applicant's Agent	.pdf
AZ PA 204-13	Final Inspection Report	.pdf
AZ PA 204-14	Final Inspection Report Check List/Narrative	.pdf
AZ PA 204-20	Final Inspection Report Narrative/Comments	.pdf
AZ PA 204-8	Force Account Equipment Summary Record	.pdf
AZ PA 204-7	Force Account Labor Summary Record	.pdf
AZ PA 204-17A	Hazard Mitigation Proposal (HMP)	.pdf
AZ PA 204-16	Historic Review Assessment for Determination of Effect	.pdf
AZ PA 204-1	Incident Information Questionnaire	.pdf
AZ PA 204-10	Materials Summary Record	.pdf
AZ PA 204-18	Preliminary Damage Assessment Site Estimate	.pdf
AZ PA 204-19	Preliminary Damage Assessment Site Summary	.pdf
AZ PA 204-5	Project Worksheet	.pdf
AZ PA 204-5a	Project Worksheet Instructions	.pdf
AZ PA 204-17	Proposal for Public Assistance 406 Hazard Mitigation	.pdf
AZ PA 204-9	Rented Equipment Summary Record	.pdf
AZ PA 204-15	Request for Payment	.pdf
AZ PA 204-3	Request for Public Assistance	.pdf
AZ PA 204-21	Scope of Work Standard Comments	.pdf
AZ PA 204-6	Special Considerations Questions	.pdf

PUBLICATIONS

Publications Name	File Ext
Individual Assistance
ADEM IA PDA Field Guide Book	.pdf
After the Fire	.pdf
Como Repara Su Hogar Inundado	.pdf
Despuer del Incendio	.pdf
Help After A Disaster	.pdf
Homeowners Insurance Check Up	.pdf
Homeowners Insurance Company Phone Numbers	.pdf
Repairing Your Flooded Home	.pdf
Sequence of Service Delivery	.pdf
Short and Long-Term Recovery Action Plan	.pdf
Why You Need Flood Insurance	.pdf

Public Information | Preparedness | Operations | Recovery | Logistics

LOGISTICS

FORMS and PUBLICATIONS

Title	File Ext
Emergency Management Performance Grant
FY2011 EMPG Guidance and Application Kit (You may also obtain this kit from the FEMA website)	.xls
FY2012 EMPG County Application Packet new!	.xls
Mutual Aid
Final Mutual Aid Compact, July 2008	.pdf
Being Deployed Under EMAC? What You Need to Know	.pdf
EMAC Preparedness Guide and Deployment Tips for Public Health Personnel	.pdf
Volunteer Management
Volunteer Reception Center Operations Guide	.pdf
When Disaster Strikes (How to Donate or Volunteer Successfully)	.pdf

Public Information | Preparedness | Operations | Recovery | Logistics