Damaged or Destroyed Property Reporting Form

Use the following form to report damaged or destroyed property to Cottonwood County Emergency officials. You will be contacted if additional information is needed.

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* 1. Damaged Property Information

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* 2. Mailing Address (if different from above)

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* 3. Parcel Identification Number (PIN)

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* 4. Do you own this property?

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* 5. Is this your primary residence?

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* 6. Is this property insured?

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* 7. Do you have flood insurance?

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* 8. Date of Damage Occurrence

Date / Time

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* 9. Type of Damage Reported

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* 10. Briefly describe damage to the property

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