Building Damage Due to Storm

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* 1. Name:

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* 2. Please fill out the required information below:

Date
Date

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* 3. Building Name:

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* 4. Rate the damage to Facility/Building below from 5= Minimal to 1 = High Catastrophic

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* 5. Description of Damage
Please upload photos that show Storm/Tornado damage

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 6. Damage Description

T