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Government Jurisdiction / Entity / Organization Requesting Assistance
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I confirm I am an official representative of the government jurisdiction / entity / organization requesting assistance.
County
Mailing address for government jurisdiction / entity / organization requesting assistance
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Address 2
City/Town
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Alabama
Alaska
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Armed Forces Americas
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ZIP/Postal Code
Point of contact first name
Point of contact last name
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Disaster Specifics
Disaster Response Type
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If Other Please Specify
Specific Request
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ATC 20/45 Post Disaster Safety Assessors
Building Officials
Building Inspectors
Plans Examiners
Engineers
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Code Officials
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If Other Please Specify
Number of Individuals Needed
Begin Date (approximate)
End Date (approximate)
Details of Request
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