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ASA Disaster Relief
Hurricane Helene WNC Disaster
Disaster Relief Project Estimate Form
Please fill out the form below to receive a estimate for your project.
Project Information
Project Title
Relief Organization Name
Contact Person First name
Contact Person Last name
Phone
Email
Project Location
Country/Region
Address
City
Zip / Postal code
Disaster Type
If Other, please specify
Project Scope
Project Objective:
Brief description of the project's goals and outcomes
Relief Activities
Emergency Shelter
Food and Water Distribution
Medical Aid
Infrastructure Repair
Other
Estimated Timeline - Start Date
Estimated Timeline - End Date
Resource Requirements
Materials Needed (e.g., tents, blankets, food supplies, medical kids)
Number of personnel Required
Roles (e.g., medical staff, logistics coordinators)
List of Equipment (e.g., generators, communication devices)
Transportation Needs - Vehicles Required (Type and quantity)
Cost Estimate
Itemized Materials and Costs
Labor Costs - Total estimated cost for personnel (e.g., daily wages, overtime)
Transportation Costs - Vehicle rentals/fuel
Misc. Costs - Permits, fees, other unforeseen expenses
Total Estimated Cost
Risk and Challenges
List potential challenges (e.g., weather, accessibility, political factors)
Risk Mitigation Plan - Describe strategies to address these risks:
Signature of Preparer
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Date
Month
Month
Day
Year
Submit
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