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Report of Damage

Use this form to report damages caused by the recent wind storm event in Los Angeles County. The information provided will be submitted to the County Office of Emergency Management. One location per report.

Questions with an asterisk (*) must be answered.

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* 1. What is your name?

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* 2. What is your address?

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* 3. What is your home telephone number?

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* 4. What is your cell phone number?

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* 5. What is your email address?

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* 6. What is the type of damaged sustained?

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* 7. Do you have homeowners or renters insurance? (If yes, answer the next two questions)

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* 8. Does the insurance cover the wind damage?

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* 9. What percentage of coverage do you have?

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