Get Form 5739 Street Sheet 1003.doc

Filling out the Form 5739 Street Sheet 1003 is a vital task for documenting damage assessments after a disaster. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently online.

Follow the steps to successfully complete the Form 5739 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the Disaster Relief (DR) number in the designated field to identify the specific disaster being assessed.
3. Document the Disaster Relief operation name in the corresponding field.
4. Input the two-letter abbreviation for the state that the assessment covers.
5. Provide the county name for the area being assessed.
6. Enter the name of the city or community that the assessment pertains to.
7. Record the date when the street sheet is completed in the designated space.
8. Write the complete street name, ensuring to include any relevant designations like St., Ct., or Dr.
9. In the Geographic Reference section, provide any additional information about the street segment being assessed.
10. Enter the house number for the dwelling you are assessing. Only one dwelling or unit should be documented per line.
11. If applicable, include the individual unit or apartment number for the address being assessed.
12. Circle the appropriate damage classification for the assessed dwelling in the Damage Classification section.
13. Indicate the number of floors in the dwelling or unit being assessed.
14. Document whether there is a basement by entering Y for Yes or N for No.
15. Through visual observation, record the water level in the living area and in the basement, if applicable.
16. Indicate whether the electricity is on by entering Y for Yes or N for No.
17. Specify the type of occupancy—whether owner-occupied, renter-occupied, or seasonal—by using the appropriate letters (O, R, or S).
18. If relevant, document if a case record has been initiated in the OR/901 section.
19. Provide additional details in the Description section to help visualize the damage that occurred.
20. Enter the last name of the family residing in the unit, if possible.
21. Sum up and enter the total counts for different classifications at the bottom of the form.
22. Complete any additional information that may assist others reviewing the document.
23. Document the name of the worker completing the form.
24. Have a supervisor review the form and initial it to confirm accuracy.
25. Once finished, save the changes, download, print, or share the form as needed.

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