California Standardized Emergency Management System
                       INITIAL DAMAGE ESTIMATE (IDE) REPORT

From School District:     

Operational Area:       

Population:

Region:     

Law Mutual Aid Region:                 Fire Mutual Aid Region:
 
1. Incident/Event:                     2. Incident Began: (date/time)

3. Local Declaration: (date)           4. EOC Activated: (date)

5. Report prepared by:                 6. This report as of: (date/time)

DECLARATIONS              |      DATE REQUESTED      |      DATE GRANTED
------------------------------------------------------------------------------
7. Director's Concurrence |                          |
                          |                          |
8.  Gubernatorial         |                          |
                          |                          |
9.  SBA                   |                          |
                          |                          |
10. Presidential          |                          |
                          |                          |
a.  Individual Assistance |                          |
                          |                          | 
b.  Public Assistance     |                          |
                          |                          |

INDIVIDUAL ASSISTANCE (IA) DAMAGES

                      |    a.   |  b.  |  c.  |   d.    |   e.  |     f.
                      |Destroyed| Maj. |Minor |Affected:|  Est. |    Est.
                      |         |Damage|Damage|(no phys.|  Loss |  % Covered 
                      |         |      |      |damage)  |       |   by Ins. 
------------------------------------------------------------------------------
11. Primary Residence |         |      |      |         |       | 
    (include mobile   |         |      |      |         |       | 
    homes)            |         |      |      |         |       |           %
                      |         |      |      |         |       | 
12. Business          |         |      |      |         |       |           %
                      |         |      |      |         |       | 
13. Other             |         |      |      |         |       |  
    (i.e. outbuildings|         |      |      |         |       |  
    etc.)             |         |      |      |         |       |           %
                      |         |      |      |         |       |
14. Totals:           |        0|     0|     0|        0|     $0|          0%

Comments:

Agricultural Damage:

                           |    a. Acres    |    b. Number   |   c. Estimated
                           |    Impacted    |    Impacted    |       Loss
------------------------------------------------------------------------------
15. Crops/Grazing Land     |                |                |
                           |                |                |
16. Farm Buildings and     |                |                |
    Machinery              |                |                |
                           |                |                |
17. Livestock              |                |                |
                           |                |                |
18.  Totals:               |                |                |              $0

PUBLIC ASSISTANCE (PA) DAMAGES Note: CATS A&B - exclude normal operating cost

                Category                  |  Number of Sites | Estimated Loss
------------------------------------------------------------------------------
19.  CAT A: Debris Removal and Disposal   |                  |
                                          |                  |
20.  CAT B: Emergency Protective Measures |                  |
                                          |                  |
21.  CAT C: Road and Bridge Systems       |                  |
            (non-federal)                 |                  |
                                          |                  |
22.  CAT D: Water Control Facilities      |                  |
            (levees, dams & channels)     |                  |
                                          |                  |
23.  CAT E: Public Buildings and Equipment|                  |
                                          |                  |
24.  CAT F: Public Utilities              |                  |
            (water and power, etc.)       |                  |
                                          |                  |
25.  CAT G: Park/Recreational/other       |                  | 
                                          |                  | 
26.  Totals:                              |                0 |              $0

Comments:


FEDERAL PROGRAM DAMAGES
                                                 |      Estimated Costs
------------------------------------------------------------------------------
27.  Federal Highways (Emergency Relief Program) |
        (Damages to federal highway systems)     |
                                                 |
28.  U.S. Army Corps of Engineers (PL 84 - 99)   |
        (For emergency flood control projects)   |
                                                 |
29.  Natural Resources Conservation Service:     |
     (For emergency watershed rehabilitation)    |	
                                                 |
30.  Other (describe):                           |
                                                 |
31.  Totals:                                     |                     $0

32. Operational Area Point of Contact

Name:                     Phone:                   Pager:

Fax Number:               Alt. Phone:

33.  When known enter estimated date to commence Preliminary Damage
     Assessments (PDA):

34a. Community Relations:  Need for special language considerations? (Yes/No) 

34b. If "Yes," please describe:  
 
Created by:                            on: (date/time)

Last Modified by:                      on: (date/time)