Step
1
of
3
33%
Disaster Recovery Progress Report Form
Applicant Name
(Required)
Eg. Massachusetts Emergency Management Agency
Disaster #
(Required)
E.g. 4372
4097
4110
4214
4372
4379
4496
Project # / PW # (if known)
(Required)
E.g. 13915 / PW 123
Name of person submitting form
(Required)
First
Last
Email address of person submitting form
(Required)
Phone # of person submitting form
(Required)
Facility name
(Required)
Name of facility/ site/damage (E.g. Rocky Coast Seawall)
Facility location
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Projected or actual project completion date
(Required)
MM slash DD slash YYYY
Total project % complete
(Required)
How far along is project planning and construction?
Total project expenditures to date
(Required)
How much have you spent on this project?
Work Schedule Task 1
Enter Task 1
(Required)
E.g. Design and Permitting
Task 1 start date
(Required)
MM slash DD slash YYYY
Task 1 percent complete
(Required)
Would you like to enter another work schedule task? (10 maximum)
(Required)
Yes
No
Work Schedule Task 2
Enter Task 2
(Required)
Task 2 start date
(Required)
MM slash DD slash YYYY
Task 2 percent complete
(Required)
Would you like to enter a 3rd work schedule task?
(Required)
Yes
No
Work Schedule Task 3
Enter Task 3
(Required)
Task 3 start date
(Required)
MM slash DD slash YYYY
Task 3 percent complete
(Required)
Would you like to enter a 4th work schedule task?
(Required)
Yes
No
Work Schedule Task 4
Enter Task 4
(Required)
Task 4 start date
(Required)
MM slash DD slash YYYY
Task 4 percent complete
(Required)
Would you like to enter a 5th work schedule task?
(Required)
Yes
No
Work Schedule Task 5
Enter Task 5
(Required)
Task 5 start date
(Required)
MM slash DD slash YYYY
Task 5 percent complete
(Required)
Would you like to enter a 6th work schedule task?
(Required)
Yes
No
Work Schedule Task 6
Enter Task 6
(Required)
Task 6 start date
(Required)
MM slash DD slash YYYY
Task 6 percent complete
(Required)
Would you like to enter a 7th work schedule task?
(Required)
Yes
No
Work Schedule Task 7
Enter Task 7
(Required)
Task 7 start date
(Required)
MM slash DD slash YYYY
Task 7 percent complete
(Required)
Would you like to enter a 8th work schedule task?
(Required)
Yes
No
Work Schedule Task 8
Enter Task 8
(Required)
Task 8 start date
(Required)
MM slash DD slash YYYY
Task 8 percent complete
(Required)
Would you like to enter a 9th work schedule task?
(Required)
Yes
No
Work Schedule Task 9
Enter Task 9
(Required)
Task 9 start date
(Required)
MM slash DD slash YYYY
Task 9 percent complete
(Required)
Would you like to enter a 10th work schedule task?
(Required)
Yes
No
Work Schedule Task 10
Enter Task 10
(Required)
Task 10 start date
(Required)
MM slash DD slash YYYY
Task 10 percent complete
(Required)
Describe significant activities and developments that have occurred which demonstrate performance for this quarter:
(Required)
Do you anticipate requesting an extension to extend the project's performance period (time extension)?
(Required)
Yes
No
Unsure
Do you anticipate a cost overrun?
(Required)
Yes
No
Unsure
Do you anticipate a change in scope?
(Required)
Yes
No