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2. City officials are asking residents who have flood damage to contact the City to help assessment teams get an accurate count of damaged properties within the city limits.
4. First Name
5. Last Name
7. Address1
9. Address2
11. City
12. State
13. Zip
15. Phone Number
16. Email Address
18. Inches of water that flooded property
19. Estimated cost of damage (if known)
21. Description of flood damage
23. Please add photo of damage being reported
24. Please add photo of damage being reported
26. Please add photo of damage being reported
27. Please add photo of damage being reported
29. Please add photo of damage being reported
31. Do you need flood damage volunteer assistance?

    1. Yes

    1. No
33. If yes, please select the following type:

    1. Inside clean-up
    2. Debris removal
    3. Structure repairs
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field