Tropical Storm Imelda Damage Assessment Survey

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* 1. Owner Name

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* 2. What is the physical address of your property?

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* 3. Level I - nonstructural damage; little or no water damage.

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* 4. Level II - nonstructural damage and a water line of less than 18" above the floor.

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* 5. Level III - not a total loss; includes significant structural damage and a waterline of at  least 18 inches above the floor.

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* 6. Level IV - a total loss – meaning repair is not feasible

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* 7. Please include any other important information regarding your damage:   

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