Below are the FEMA reimbursement forms your organization will need to begin the reimbursement process. The first form that must be submitted is the Request for Public Assistance Form. It MUST be completed and mailed/ faxed by September 28, 2005. It is important that this form is completed and submitted by the deadline before starting on the other forms. If this form is not submitted on time, then you will not be eligible for reimbursement for any Hurricane Katrina expenses. All subsequent forms need to be submitted to the following address:
TEMA - FEMA Joint Field Office
1232 Foster Avenue
Nashville, TN 37243
ATT: Marsha Cornish or Terri Tanner
Should you have any questions please contact Marsha Cornish by phone at (615) 741-3018 or Terri Tanner by phone at (615) 741-9984. For the Request for Public Assistance, the fax number is 615-242-9635.
REMEMBER: The Request for Public Assistance Form must be completed and mailed/ faxed by September 28, 2005.
Click here to fill out the Request for Public Assistance Form (O.M.B. No. 3067-0151)
Applicant Briefing Forms
-ACH Form
-Applicant Agent
-Designation of Applicant Agent
-PNP Facility Questionnaire
-Request For Public Assistance
-Substitute W-9 Form
PA Forms
-Alternate or Improved Project
-Benefits Cal Form
-Daily Activity Report
-Final Insp Checklist
-Force Acct Equip Summary
-Force Acct Labor Summary
-Large Project Quarterly Progress Report
-Material Summary Record
-Right of Entry
-Summary of Documentation
-Time Extension Request
Title VI Material
-Instructions for Completing the Title VI self-survey
-MEMO from Kent Russ
-Note (Title VI) Divider
-Public Notice
-Title VI Fact Sheet
-Title VI Survey
-What you need to know about Title VI
