• DISASTER RECOVERY FUNDING ARRANGEMENTS WA                  PRELIMINARY EVENT NOTIFICATION FORM

    DISASTER RECOVERY FUNDING ARRANGEMENTS WA PRELIMINARY EVENT NOTIFICATION FORM

  • PRELIMINARY EVENT NOTIFICATION

    Purpose of Document

    This Preliminary Event Notification (PEN) form is used to gather data and information to determine if a disaster event meets the activation criteria of the Disaster Recovery Funding Arrangements Western Australia (DRFAWA).

    Requirements to activate the DRFAWA

    To be eligible for assistance under the DRFAWA, a disaster event must meet all three of the following criteria:

    1. The event was a natural disaster or a terrorist act.
      A natural disaster includes one or more of the following rapid-onset events: bushfire, earthquake, flood, storm, cyclone, storm surge, landslide, tsunami, meteorite strike, and/or tornado.
    2. A coordinated, multi-agency response was required.
    3. Eligible expenditure exceeded $240,000 across the affected local governments.
      This includes costs related to eligible emergency assistance, damage to Essential Public Assets (EPA), and/or other eligible assistance provided in response to the event.

    Supporting evidence requirements for the PEN Form

    The information provided in the PEN form must be supported by verifiable evidence and uploaded in the Supporting Evidence section. Supporting evidence may include:

    • Weather data such as rainfall, wind, or other relevant metrics from the Bureau of Meteorology (BoM) or the Department of Primary Industries and Regional Development (DPIRD).
    • Trusted and verifiable media reports that confirm the event and its impacts.
    • Emergency WA warnings and incident alerts related to the disaster event.
    • Records of coordination and communication, including minutes of meetings, phone call logs, emails, or other documentation that demonstrate a coordinated multi-agency response or confirm impacts.
    • Visual evidence, such as dated, geotagged, and clearly labelled photographs (with metadata) showing the impacts or damage.
    • Public notifications regarding impacts on Essential Public Assets (e.g., roads, bridges) or response activities. These may include posts on Local Government (LG) or State Government Agency (SGA) websites or social media channels.

    Activation of an event does not constitute approval of funding. If an event is activated, all subsequent Essential Public Asset applications or claims must include sufficient, relevant and reliable photographic evidence. This evidence must:

    • be dated and geotagged
    • be clearly labelled
    • include complete embedded metadata (e.g. location, date and time)
    • clearly demonstrate both the pre-disaster and post-disaster conditions of the asset
    • be sufficient in number to clearly demonstrate the extent and scope of both the pre-disaster condition and the damage. As a guide for roads, the recommended maximum linear distance between photographs along continuous sections of damage should be 50 meters.

    Evidence of expenditure and, where applicable, procurement will also be required.

    If you do not have the evidence described above, contact DFES Recovery Funding to discuss the requirements before submitting a PEN form.

    Other forms of evidence may be required for assistance types unrelated to Essential Public Assets. Contact DFES Recovery Funding to discuss the requirements relevant to your circumstances, or refer to the factsheets and other resources on the DFES Recovery Funding webpage for information about assistance measures and evidence requirements.

    Contact DFES Recovery Funding

    Before lodging a PEN Form, please contact DFES Recovery Funding on 1800 920 659 or via drfawa@dfes.wa.gov.au to discuss the process and confirm eligibility requirements.

    Additional information about the DRFAWA activation process is available in the DRFAWA Activation Process Fact Sheet, located on the DFES Recovery Funding webpage.

    Authorisation Requirements

    The PEN form must be submitted directly by the impacted LG or SGA and not by a third party.

    Please note that costs associated with completing the PEN form are not reimbursable under the DRFAWA.

     

  • LG or SGA Details

  • Contact Person Details

  • Disaster Details

    Please provide details about the disaster event, including relevant details that reflect the type of disaster selected below.
  • Disaster Type:*
  • Disaster start date:*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Disaster end date (if applicable):
     - -
    2 digit day, 2 digit month, 4 digit year
  • Impacts

    From the lists within the categories below, please select the impacts from the disaster you are aware of.
  • Built Environment:*
  • Economic Environment:*
  • Social Environment:*
  • Natural Environment:*
  • Coordinated Multi Agency Response

    This will typically include relevant LGs and SGAs.
  • Select Responding Agency.*
  • Local Governments, Please list below:
  • Other Agencies, Please list below:
  • Eligible Expenditure

    Please provide indicative Eligible Expenditure below.
  • Supporting Evidence

    Please upload evidence in each of the sections below to support your request for DRFAWA activation.
  •  The types of evidence you should consider providing include:

    • Weather data such as rainfall, wind, or other relevant metrics from the Bureau of Meteorology (BoM) or the Department of Primary Industries and Regional Development (DPIRD).
    • Trusted and verifiable media reports that confirm the event and its impacts.
    • Emergency WA warnings and incident alerts related to the disaster event.
    • Records of coordination and communication, including minutes of meetings, phone call logs, emails, or other documentation that demonstrate a coordinated multi-agency response or confirm impacts.
    • Visual evidence, such as dated, geotagged, and clearly labelled photographs (with metadata) showing the impacts or damage.
    • Public notifications regarding impacts on Essential Public Assets (e.g., roads, bridges) or response activities. These may include posts on LG or SGA websites or social media channels.

     

    Document Upload Guidelines

    • The Document Portal DOES NOT accept files that are 50MB or larger.
    • If your documents exceed this size, please contact DFES Recovery Funding at drfawa@dfes.wa.gov.au or 1800 920 659 for assistance prior to submitting the PEN form.
    • Alternatively, you may split a 50MB PDF into multiple parts (e.g., Part 1 and Part 2).
    • DO NOT use special characters in document titles, such as: !@#$%^&*():"<>?'+_
  • Please select:
  • Click here to Add Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Click here to Add Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Click here to Add Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Click here to Add Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Click here to Add Files
    Drag and drop files here
    Choose a file
    Cancelof
    • PEN Authorisation 
    • PEN Form Authorisation Requirements

    • The PEN form must be signed by an authorised representative of the LG or SGA and not by a third party.

      • For an LG, the signatory must be the Chief Executive Officer (CEO) or a member of the Corporate Executive.
      • For an SGA, the signatory must be, at a minimum, a Regional Manager or Regional Director.

      Forwarding the PEN Form for Signature

      If you need to forward this form to another person for their signature, please follow these steps:

      1. Enter the details of the person who needs to sign the form (in the section below).
      2. Click ‘Save’ at the bottom of the form.
      3. Select ‘Skip Create an Account’.
      4. Enter the email address of the person who needs to sign the form.
        (If an email address is already present, replace it with the correct one if necessary.)
      5. Click ‘Send’.
      6. A confirmation message should appear:
        “Submission saved as draft. We’ve emailed you a link you can use to continue it later.”
      7. The recipient will receive a link to the draft form, which they can complete and submit.
      8. Close the pop-up and the form.
      9. Once submitted, the form will be sent to DFES. Within a few minutes, both the contact person listed on the form and the recipient should receive a confirmation email. If no confirmation email is received, please contact DFES Recovery Funding to ensure the application was submitted correctly.
    • Please use only the "wa.gov.au" email domain to authorise your request.

    • Date*
       - -
      2 digit day, 2 digit month, 4 digit year
    • PEN Authorisation 
    • Reload
  • Should be Empty: