Damages Resulting From Disasters

Completion of this form will assist the County in collecting damage information and associated costs with the current event. Information will be used to determine the estimated dollar amount of disaster damages within the County and be used to determine if enough disaster damages have occurred to qualify for disaster assistance. Completing this form does not guarantee a disaster declaration will be received nor does it guarantee you will be eligible or receive disaster assistance. This is an informational gathering document that will be used to determine if disaster assistance is eligible based on the total amount of damages countywide. If you have any questions regarding information being collected or this form, email 

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 Single Family Residence
 Primary Residence
 Non-Profit Organization
 Apartment Home
 Mobile Home
 Travel Trailer
 Business
 Single Story
 Multiple Story
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 No
 Yes
 Yes - Home Based
 N/A
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For example, if a home with an estimated value of $500,000 is completely destroyed, and its insurance only covered $250,000, their uninsured/under-insured loss percentage of the total property value would be 50%. If a renter’s belongings are estimated at $10,000 and they suffer losses of $5,000, with insurance only covering $1000, their uninsured/underinsured losses percentage would be 40%.
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 Flood
 Homeowner/Renter
 Condo
 Manufactured
 EQ/SBU/Others
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 Minor (<40%)
 Major (40-75%)
 Destroyed (>75%)
 Affected/Other
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 Minor (<40%)
 Major (40-75%)
 Destroyed (>75%)
 Affected/Other

 

 

 By submitting this application I agree that the above information may be shared with local, State, federal, and tribal agencies, nongovernmental organizations, and utilities for the purpose of assessing total damages in the County resulting from a disaster and facilitating possible recovery assistance.