FF-104-FY-21-128-A Declaration and Release Form (Spanish)

Disaster Assistance Registration

FEMA Form FF-104-FY-21-128-A (formerly 009-0-4) (Spanish)

Declaration and Release

OMB: 1660-0002

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1660-0002 can be found here:

2025-07-15 - No material or nonsubstantive change to a currently approved collection
2024-06-28 - No material or nonsubstantive change to a currently approved collection

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