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"name": "New Hampshire" }, { "code": "NJ", "name": "New Jersey" }, { "code": "NM", "name": "New Mexico" }, { "code": "NY", "name": "New York" }, { "code": "NC", "name": "North Carolina" }, { "code": "ND", "name": "North Dakota" }, { "code": "MP", "name": "Northern Mariana Islands" }, { "code": "OH", "name": "Ohio" }, { "code": "OK", "name": "Oklahoma" }, { "code": "OR", "name": "Oregon" }, { "code": "PA", "name": "Pennsylvania" }, { "code": "PR", "name": "Puerto Rico" }, { "code": "RI", "name": "Rhode Island" }, { "code": "SC", "name": "South Carolina" }, { "code": "SD", "name": "South Dakota" }, { "code": "TN", "name": "Tennessee" }, { "code": "TX", "name": "Texas" }, { "code": "VI", "name": "U.S. Virgin Islands" }, { "code": "UT", "name": "Utah" }, { "code": "VT", "name": "Vermont" }, { "code": "VA", "name": "Virginia" }, { "code": "WA", "name": "Washington" }, { "code": "WV", "name": "West Virginia" }, { "code": "WI", "name": "Wisconsin" }, { "code": "WY", "name": "Wyoming" } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "state_territory", "length": 255, "alias": "State/Territory:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "county", "length": 255, "alias": "County:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "length": 255, "type": "esriFieldTypeString", "isViewOverride": true, "domain": null, "name": "county_label", "alias": "Select a city:" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_tribeconfirm", "type": "codedValue", "codedValues": [ { "code": "yes", "name": "Yes" }, { "code": "no", "name": "No" } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "tribeconfirm", "length": 255, "alias": "Is any member of the household affiliated with a federally recognized tribe?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "tribe", "length": 255, "alias": "Select Tribal Entity", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "zip", "length": 10, "alias": "Zipcode", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "incident_type", "length": 255, "alias": "What event type caused the damage?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "other_incident", "length": 255, "alias": "Specify Other:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_immediate_needs", "type": "codedValue", "codedValues": [ { "code": "yes", "name": "Yes" }, { "code": "no", "name": "No" }, { "code": "unsure", "name": "Unsure" } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "immediate_needs", "length": 255, "alias": "Are there any immediate needs?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "immediateneeds_desc", "length": 255, "alias": "Please describe in detail what are the immediate needs:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "length": 255, "type": "esriFieldTypeString", "isViewOverride": true, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_owner_renter", "type": "codedValue", "codedValues": [ { "code": "owner", "name": "Owner" }, { "code": "renter", "name": "Renter" }, { "code": "unknown", "name": "Unknown" } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "owner_renter", "alias": "Owner or Renter?" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_insurance_yesno", "type": "codedValue", "codedValues": [ { "code": "yes", "name": "Yes" }, { "code": "no", "name": "No" }, { "code": "unknown", "name": "Unknown" } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "insurance_yesno", "length": 255, "alias": "Is there insurance for this peril?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "length": 255, "type": "esriFieldTypeString", "isViewOverride": true, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_assessment_level", "type": "codedValue", "codedValues": [ { "code": "affected", "name": "Affected" }, { "code": "minor", "name": "Minor" }, { "code": "major", "name": "Major" }, { "code": "destroyed", "name": "Destroyed" }, { "code": "inaccessible", "name": 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"domain": null, "name": "inaccesible_homes_count", "alias": "Estimated number of inaccessible homes?", "type": "esriFieldTypeInteger" }, { "nullable": true, "editable": true, "defaultValue": null, "length": 255, "type": "esriFieldTypeString", "isViewOverride": true, "domain": { "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_dwelling_type", "type": "codedValue", "codedValues": [ { "code": "commercial", "name": "Commercial" }, { "code": "single_family", "name": "Single Family" }, { "code": "multi_family", "name": "Multi-Family" }, { "code": "mobile_home", "name": "Mobile Home" }, { "code": "street", "name": "Street" }, { "code": "block", "name": "Block" }, { "code": "subdivision", "name": "Named Subdivision or MH Park" }, { "code": "manufactured_home", "name": "Manufactured Home" } ] }, "name": "dwelling_type", "alias": "Choose the type of dwelling:" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_sfdestroyed_qualifier", "type": "codedValue", "codedValues": [ { "code": "destroyed_structural", "name": "Complete failure of two or more major structural components -e.g. collapse of basement walls, foundation, load-bearing walls, or roof." }, { "code": "destroyed_foundation", "name": "Only foundation remains" }, { "code": "destroyed_collapse", "name": "A residence that is in imminent threat of collapse because of disaster-related damage or confirmed imminent danger - e.g. impending landslides, mudslides, or sinkholes." } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "sfdestroyed_qualifier", "length": 255, "alias": "Choose the option that best describes the destroyed damage:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_sfmajor_qualifier", "type": "codedValue", "codedValues": [ { "code": "major_roof", "name": "Failure or partial failure to structural elements of the roof to include rafters, ceiling joists, ridge boards, etc." }, { "code": "major_frame", "name": "Failure or partial failure to structural elements of the walls to include framing, sheathing, etc." }, { "code": "major_foundation", "name": "Failure or partial failure to foundation to include crumbling, bulging, collapsing, horizontal cracks of more than two inches, and shifting of the residence on the foundation of more than six inches" }, { "code": "major_water", "name": "Residences with a water line 18 inches above the floor in an essential living space, a water line above the electrical outlets, or a water line on the first floor or when basement is completely full." } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "sfmajor_qualifier", "length": 255, "alias": "Choose the option that best describes the major damage:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_sfminor_qualifier", "type": "codedValue", "codedValues": [ { "code": "minor_roof", "name": "Nonstructural damage to roof components over essential living space to include large areas of shingles e.g. roof covering, fascia board, soffit, flashing, and skylight" }, { "code": "minor_interior", "name": "Nonstructural damage to the interior wall components to include drywall, insulation; exterior components to include house wrap, missing doors, broken window framings; or substantial loss of exterior covering, such as missing siding, vinyl, stucco, etc." }, { "code": "minor_foundation", "name": "Multiple small vertical cracks in the foundation" }, { "code": "minor_chimney", "name": "Damage to chimney to include, tilting, fallen, cracks, or separated from the residence." }, { "code": "minor_mechanical", "name": "Damage to or submersion of mechanical components, e.g. furnace, boiler, water heater, HVAC, electrical panel, pressure tanks or well pressure switch, etc." }, { "code": "minor_water", "name": "Water line less than 18 inches in an essential living space." }, { "code": "minor_contamination", "name": "Damage or disaster related contamination to a private well or septic system." } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "sfminor_qualifier", "length": 255, "alias": "Choose the option that best describes the minor damage:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_sfaffected_qualifier", "type": "codedValue", "codedValues": [ { "code": "affected_roof", "name": "Partially missing shingles or siding (non-continuous/sporadic), but roof structure is intact." }, { "code": "affected_cosmetic", "name": "Cosmetic damage such as paint discoloration, loose siding, screens, gutters, etc." }, { "code": "affected_structure", "name": "Damage to an attached structure such as a porch, carport, garage, or outbuilding not for commercial use." }, { "code": "affected_landscaping", "name": "Damage to landscaping, retaining walls, or downed trees that do not affect access to the residence or has not collapsed into residence." }, { "code": "affected_water", "name": "Any water line in the crawl space or basement when essential living space or mechanical components are not damaged or submerged." } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "sfaffected_qualifier", "length": 255, "alias": "Choose the option that best describes the affected damage:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_mfdestroyed_qualifier", "type": "codedValue", "codedValues": [ { "code": "destroyed_structural", "name": "Complete failure of two or more major structural components -e.g. collapse of basement walls, foundation, load-bearing walls, or roof." }, { "code": "destroyed_foundation", "name": "Only foundation remains" }, { "code": "destroyed_collapse", "name": "A residence that is in imminent threat of collapse because of disaster-related damage or confirmed imminent danger - e.g. impending landslides, mudslides, or sinkholes." } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "mfdestroyed_qualifier", "length": 255, "alias": "Choose the option that best describes the destroyed damage:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_mfmajor_qualifier", "type": "codedValue", "codedValues": [ { "code": "major_roof", "name": "Failure or partial failure to structural elements of the roof to include rafters, ceiling joists, ridge boards, etc." }, { "code": "major_frame", "name": "Failure or partial failure to structural elements of the walls to include framing, sheathing, etc." }, { "code": "major_foundation", "name": "Failure or partial failure to foundation to include crumbling, bulging, collapsing, horizontal cracks of more than two inches, and shifting of the residence on the foundation of more than six inches" }, { "code": "major_water", "name": "Residences with a water line 18 inches above the floor in an essential living space, a water line above the electrical outlets, or a water line on the first floor or when basement is completely full." } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "mfmajor_qualifier", "length": 255, "alias": "Choose the option that best describes the major damage:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_mfminor_qualifier", "type": "codedValue", "codedValues": [ { "code": "minor_roof", "name": "Nonstructural damage to roof components over essential living space to include large areas of shingles e.g. roof covering, fascia board, soffit, flashing, and skylight" }, { "code": "minor_interior", "name": "Nonstructural damage to the interior wall components to include drywall, insulation; exterior components to include house wrap, missing doors, broken window framings; or substantial loss of exterior covering, such as missing siding, vinyl, stucco, etc." }, { "code": "minor_foundation", "name": "Multiple small vertical cracks in the foundation" }, { "code": "minor_chimney", "name": "Damage to chimney to include, tilting, fallen, cracks, or separated from the residence." }, { "code": "minor_mechanical", "name": "Damage to or submersion of mechanical components, e.g. furnace, boiler, water heater, HVAC, electrical panel, pressure tanks or well pressure switch, etc." }, { "code": "minor_water", "name": "Water line less than 18 inches in an essential living space." }, { "code": "minor_contamination", "name": "Damage or disaster related contamination to a private well or septic system." } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "mfminor_qualifier", "length": 255, "alias": "Choose the option that best describes the minor damage:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_mfaffected_qualifier", "type": "codedValue", "codedValues": [ { "code": "affected_roof", "name": "Partially missing shingles or siding (non-continuous/sporadic), but roof structure is intact." }, { "code": "affected_cosmetic", "name": "Cosmetic damage such as paint discoloration, loose siding, screens, gutters, etc." }, { "code": "affected_structure", "name": "Damage to an attached structure such as a porch, carport, garage, or outbuilding not for commercial use." }, { "code": "affected_landscaping", "name": "Damage to landscaping, retaining walls, or downed trees that do not affect access to the residence or has not collapsed into residence." }, { "code": "affected_water", "name": "Any water line in the crawl space or basement when essential living space or mechanical components are not damaged or submerged." } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "mfaffected_qualifier", "length": 255, "alias": "Choose the option that best describes the affected damage:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_mhdestroyed_qualifier", "type": "codedValue", "codedValues": [ { "code": "mhdestroyed_frame", "name": "The residence's frame is bent, twisted, or otherwise compromised." }, { "code": "mhdestroyed_roof", "name": "The residence is missing the roof covering and the structural ribbing has collapsed for the majority of the roof system." }, { "code": "mhdestroyed_total", "name": "The residence is a total loss" } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "mhdestroyed_qualifier", "length": 255, "alias": "Choose the option that best describes the destroyed damage:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_mhmajor_qualifier", "type": "codedValue", "codedValues": [ { "code": "mhmajor_foundation", "name": "The residence has been displaced from the foundation, block or piers, and other structural components have been damaged." }, { "code": "mhmajor_water", "name": "Water has come into contact with the floor system to include belly board insulation, ductwork, and subflooring." } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "mhmajor_qualifier", "length": 255, "alias": "Choose the option that best describes the major damage:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": "IndividualAssistance_5bf7dfd1595a4ffa9580be741030753b_cvd_mhminor_qualifier", "type": "codedValue", "codedValues": [ { "code": "mhminor_nonstructural", "name": "Nonstructural components have sustained damage - e.g. windows, doors, wall coverings, roof, bottom board insulation, ductwork, and/or utility hook up." } ], "mergePolicy": "esriMPTDefaultValue" }, "name": "mhminor_qualifier", "length": 255, "alias": "Choose the option that best describes the minor damage:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "splitPolicy": "esriSPTDefaultValue", "name": 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