FF-104-FY-21-125-A Internet Application Registration For Disaster Assistanc

Public Registration Intake Spanish Version

FEMA Form 009-0-2Int (Spanish)

Internet

OMB Control Number: 1660-0002

Expiration Date: 5/31/2014

 

 

 

 

 

 

 

 

 

 

 

 

Screen provided when selecting  “Other damage not list here”

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Screen provided when answering YES to Medical, Dental and Funeral

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Screen provided when answering YES to both questions in the previous screen

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Screen provided when answering NO to both questions in the previous screen as well as when answering NO to Self-employed and YES to Business.

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Screen provided when selecting YES to the EFT question.

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Screen provided when selecting yes to E-Mail notifications

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