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* 1. Did you experience a broken pipe/water line from 2/12-2/21?

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* 2. Did you experience damage to your home infrastructure from water leaking from 2/12-2/21?

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* 3. What kind of damage did you experience ( ruined carpet, furniture, walls, etc. ) due to water leaking from 2/12-2/21?

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* 4. Did you experience equipment damage due to power loss or fluctuating from 2/12/-2/21 and if so, what equipment?

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* 5. How much do you estimate it will cost to make repairs?

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* 6. Was your home impacted in any other way by the winter weather and power losses of 2/12/21 to 2/21/21?

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