Sample Water and Wastewater Damage Assessment Forms
Use these sample damage assessment, photolog, emergency repair, and mutual assistance forms to record damage to your utility. Provide blank forms to field crews assessing damage. Upon completion, you can use the forms to prioritize repairs.
These forms are not required for any of the funding programs. They are provided to help you document your damages sufficiently. This will further your probability of reimbursement or funding success.
Mutual Assistance Cost Estimate Development Worksheet (xls) Use this Excel worksheet to document labor, equipment, materials purchased, and contractors used to complete repairs to damaged assets. Free Viewers
Water System Status Report (pdf)
Wastewater System Status Report (pdf)
Suggested Questions for Water and Wastewater Utilities (pdf)