Damage Reporting

If you have experienced storm damage to your house, building or structure we must be informed.

Owner's Name:

^*Street Address of Damaged Building:

This field is required.

^*City, State, ZIP Code:

This field is required.

Parcel ID:

Telephone:

^*E-mail:

Please enter a valid e-mail.

* Indicates required field

Building Uninhabitable / Condemned

Building Destroyed

Holes in Roof or Outside Walls - (Outside Damage)

Minor

Was there water in the home?

How Deep?

Damage Inside Home from Water / Wind

Estimated Cost of Repair:

Estimated Date Repairs to be Completed:

Additional Comments