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Urban Disaster Log Form

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Urban Disaster Log (UDL) Entry Form

Welcome to the Urban Disaster Log! This enhanced form captures comprehensive data to support youth-led humanitarian responses to climate-induced disasters in urban and peri-urban areas. It includes additional fields for deeper impact analysis, risk forecasting, and coordination. Your report helps prioritize aid and build long-term resilience.

Important: Required fields are marked with an asterisk (*). Conditional fields appear based on your selections. Your report helps prioritize aid and build long-term resilience. Estimated completion time: 10-15 minutes.

Data Privacy Note: By submitting this form, you consent to the processing of your personal data in accordance with the Kenya Data Protection Act and GDPR. Your information will be used solely for disaster response coordination and stored securely for up to 24 months. You can request access, correction, or deletion at privacy@youthandurbanism.org.

Form Progress

Section 1: Incident Basics

Provide essential details about when and where the disaster occurred.

Defaults to today
Approximate if unknown
Include neighborhood or landmark for precision

Section 2: Impact Assessment

Assess the severity and impact of the disaster on people, infrastructure, and the environment.

Break down if possible: property loss, business interruption

Section 3: Evidence and Media

Upload photos, videos, and other evidence to support your report.

Up to 10 images or videos; include timestamps if available; encouraged for verification
Optional; e.g., voice notes from witnesses
Optional; e.g., Local news clippings, sensor data screenshots

Section 4: Response Requirements

Specify urgent needs and coordinate response efforts.

Section 5: Reporter Information

Provide your contact information for follow-up and verification.

Submit Report

Thank you for your detailed report. A unique verification code will be generated upon submission, and you'll receive a confirmation via your contact details if provided. This data will help Youth-led Humanitarian Teams in Nairobi and beyond respond effectively.

Thank you for reporting! Your contribution helps us respond quickly and effectively to urban disasters. If additional information is needed, our team will contact you using the details provided.