Village of Riverside Flooding Report Form

The Village of Riverside has created this form to better understand and plan for flooding events. This information will be used for statistical purposes and to prioritize improvements. Please note that this information will not be used for emergency assistance, please utilize our Riverside Responds portal or app to report sewer and water issues to Public Works.

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* 1. What is your street address?

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* 2. Date that Reported Flooding Began?

Date / Time

Date

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* 3. Location of Flooding

Basement

First Floor (if no basement)

Other (please specify)

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* 4. If Basement or First Floor Flooding Occurred, Please Indicate the Level of Infiltration

Seepage (No Standing Water)

0 - 3 inches

3 - 6 inches

6 - 9 inches

9 - 12 inches

Greater than 1 foot