Emergency Response Project

Thank you for taking the first step to support your community.
This reporting platform is an opportunity for you to provide accurate data to our response team to provide support to your community. The goal of this emergency response project is to provide timely response to the
victims of disaster of any kind to provide immediate assistance to maintain life and improve health.
Please note that you may be contacted by our team members to verify the information you provided.
Thank you

(*) Required

*State

0/20

*LGA

0/20

*Ward

0/20

*What is the name of the community where the incident happened?

0/50

*Date of the incident

*What type of emergency are you reporting?

Community Conflict/crisis Fire Disaster Flood Disaster Disease Outbreak Others

If you selected 'others' above, describe the type of emergency you are reporting

0/30

*What is the estimated number of families affected?

*Estimated total number of people affected in the community

*What are the immediate identified challenges?

Poor shelter     Medical needs     Poor water supply     Food     Others    

If you selected 'others' above, list other observed challenges

0/50

*Are There Any Mortality?

Yes     No     unsure    

*If any, what is the number of mortalities?

*Are there any IDP camp or temporary community shelter established as a result of this incident?

Yes     No     Unsure    

*If any, List the Names of the IDP Camps identified

0/50

*Based on priority, which IDP camp requires immediate support?

0/30

*What is the estimated number of families currently in the identified IDP Camp?

*Base on Priority, What are the first three (3) observed needs in the identified camp or community? (Please select only three)

Medical intervention need     water supply need     food     shelter     immediate evacuation    

Kindly share 3 best clear and high resolution photos of the incident below

*Attach Photos 1

*Attach Photos 2

*Attach photo 3

*Contact Number of the Reporter

*Name of the Reporter

Is there anything else that you may want us to know? (optional)

0/200

Fields with (*) are compulsory.