Business Impact Survey | Tropical Storm Ida

Tropical Storm Ida Business Impact Survey

Please complete this survey if your business has been impacted by Tropical Storm Ida to be shared with the City of Elizabeth. This survey is for informational purposes only, this does NOT guarantee assistance.
1.Please provide your name, property location, and phone number
2.Is your property Residential or Commercial?
3.Source of Damage?
4.Building affected?
5.Type of Damage?
6.Please provide damage description
7.Estimated repair costs (if known)
8.Cost estimate provided by?
9.Estimate time to complete?
10.Has repair work been started?
11.Have you applied for FEMA Aid?
12.Have you received an insurance estimate?
13.Other comments/consideration
Current Progress,
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