Flash Flooding Questionnaire - Single Family Homes Question Title * 1. Please Provide Your Property Address Question Title * 2. You may provide a contact phone number or email Name Phone Email Address Question Title * 3. Was your property or home affected or damaged by flooding on September 21-22, 2016? Property flooding Y/N Building flooding Y/N Property damage - estimated amount of damage and cleanup cost Building damage - estimated amount of damage and clean up cost Question Title * 4. Do You Have Flood Insurance? Yes No Question Title * 5. Did or will your insurance cover any portion of losses Flood insurance coverage of ___% Property insurance coverage of ___% N/A - No Flood Insurance Question Title * 6. What type of construction is/are damaged building(s)? No damage Basement Slab Frame Brick Prefabricated Townhome/apartment Question Title * 7. Is your property unlivable? Yes No If so, what utility, access, or other conditions make it unlivable? Question Title * 8. Did you require temporary housing? Yes No If so, for how long and for how many persons? Question Title * 9. Is there any additional information you'd like to provide? Done