THIS IS NOT AN APPLICATION – The information you provide will assist St. Louis County is creating a Preliminary Damage Assessment to be submitted to the State of Minnesota and the Federal Emergency Management Agency (FEMA) to determine if and what types of assistance may be available.
Please complete the following information to the best of your ability, any questions or to obtain this survey by mail please call St. Louis County Emergency Management at 218-625-3960 or

* 1. Address of affected property.

* 2. Is this property

* 3. Is this your primary residence?

* 4. Please provide contact information for the owner of this property.

* 5. Please indicate level of damage using the following categories:

* 6. Do you have a damage estimate?

* 7. Have you filed an insurance claim?