NAFC Disaster Damage & Needs Assessment Form
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  • Details Approximate Cost
    Property Damage (walls, roof, exterior, debris removal, windows, etc.)
    Equipment Damage/Needs (refrigerators, AC Unit, furniture, lab equipment, etc.)
    Technology Damage/Needs (computers, phones, tablets, servers, etc.)
    Medication Damage/Needs (lost items due to power surges, ibuprofen, Allegra, Tylenol, etc.)
    Medical & Dental Supplies Needs (table paper, first aid kit, diabetic meters & strips, etc.)
    Increased Staffing Needs for Patient Care (due to increased patient demand)
    Staff and Volunteer Needs (training, support etc)
    Loss of Revenue (due to impact on local donor population, waived patient contributions, etc.)