Beta Home Flooding and Damage Report

Home Flooding and Damage Report

This report is designed to assist the Harris County Flood Control District and the Harris County Engineering Department in determining what areas have experienced structural flooding and damage due to severe weather. This report will allow damage assessment teams to quickly deploy to those locations to asses the area in the wake of an incident. Your information will be sent directly to those agencies and will not be shared with anyone outside of government.

This survey should not be used to report water inundation from roof leaks or plumbing failures. 

Please DO NOT use this survey to request direct assistance or disaster relief. The agencies receiving your flood damage information do not have the capability to provide disaster relief. In the event of a disaster declaration, contact information for relief agencies will be listed at www.readyharris.org. As always, for emergency assistance, dial 9-1-1.
ONLY Enter information regarding Tropical Storm Beta.
1.First Name:(Required.)
2.Last Name:(Required.)
3.Subdivision Name (if applicable):
4.Physical Street Address:(Required.)
5.City:(Required.)
6.State
7.Zip Code
8.Primary Phone Number:(Area Code- Phone Number)(Required.)
9.Secondary Phone Number (if applicable):
10.Email Address
11.Did you have flood water in your home? (This is not water from plumbing or roof leaks.)(Required.)
12.How high was the water in your home (IN INCHES):(Required.)
13.Date flooding occurred:(Required.)
14.Did you have damage to your home other than flooding due to severe weather (wind, hail,etc). Please note: this is not water from plumbing or roof leaks.(Required.)
15.Date damage occurred:(Required.)
16.Additional Comments: