Super Storm Sandy Economic Loss Questionnaire: NY Tackle Shops

“Super Storm” Sandy Economic Injury Loss Questionnaire for NY For Hire - Party and Charter Boat Industry

For instructions and background information, please see the related news item: www.seagrant.sunysb.edu/articles/r/2236.

Instructions & Printable Form | PDF

Notes:

  • The information that you disclose is confidential, and information that is shared with a third party will be summarized.  By completing the survey you are agreeing to this condition.

  • For one of the final questions on the questionnaire, please use the "Sandy Economic Loss Worksheet" (.xls) to calculate your estimated loss of revenue.

    Also, although it is very hard to determine the future cost of these impacts, please list and give an estimate as to some of the costs/losses that you may incur from now through the opening of the 2013 fishing season on April 1st? Please include additional sheets to provide information as necessary

  • One major industry concern is the status of our recreational fishing infrastructure.  Many access points have been damaged.  So that we may start to get an inventory of these locations, please list any docks, piers, ramps, etc..., in your local community that have been damaged.  Pictures to document the locations and damage would be very helpful.

    If you have photos to submit, please E-mail them separate from the form to Antoinette Clemetson at aoc5@cornell.edu. Please make sure to list the address of the locations(s) for all pictures. And be sure to mark the final question on the questionnaire, "Submitting any photos?" with a "Yes" so we can match up your response with the photo(s) you send.

Before submitting, please note:

Only hit "SUBMIT" once to avoid possible duplicate requests.
Once submitted, a confirmation will appear on the screen and an email will be sent to you if you provided an email address.




Business Name: 
Business Address: 
Contact Name: 
Contact Phone: 
Contact Email: 
Operating Status - November: 
Operating Status - November (details): 
If you chose Option 1 / 3 or 4 above, please provide, respectively, date or percentage
Operating Status - December: 
Operating Status - December (details): 
If you chose Option 1 / 3 or 4 above, please provide, respectively, date or percentage
Please enter the TOTAL number of staff employed at your facility: 
Describe the changes in the work force in your facility: # people employed before Super Storm Sandy: 
# people currently employed: 
On a scale of 0-5, provide best estimate of property's physical damage as direct result of storm: 
with 0 being no damage and 5 being the worst (i.e. total loss) or N/A for not applicable
Retail Area: 
Rate on scale of 0-5
Office Area: 
Rate on scale of 0-5
Other permanent buildings excluding personal residence: 
Rate on scale of 0-5
Permanent docks and pilings: 
Rate on scale of 0-5
Floating docks: 
Rate on scale of 0-5
Products/Goods: 
Rate on scale of 0-5
Other (i.e. Gas pumps, ice machines, freezers): 
Rate on scale of 0-5
Total estimated loss for 2012 from “Super Storm” Sandy (Value = $): 
Please use worksheet to calculate your estimated of lost revenue (see NOTES section above form)
Submitting Any Photos?: 
Submitted By: 
Date: 
Contact Information: 
List name of person completing questionnaire & contact phone/email for any follow-up clarification
Contact Information: Phone: 
Contact Information: Email: 
Are you human?
 


Before submitting, please note:

Only hit "SUBMIT" once to avoid possible duplicate requests.
Once submitted, a confirmation will appear on the screen and an email will be sent to you if you provided an email address.

Home *  What is NYSG? *  Research *  Extension *  Education *  News & Events *  Publications
  Grants & Policies * Staff * NYSG Sites *  Related Sites 

nyseagrant@stonybrook.edu * (631) 632-6905

Problems viewing our Site? Questions About our Site's Social Media / Other Features? - See Our Web Guidelines

For NYSG Staff ... SharePoint * Site Administration