WCDR - Flood Information Sign Up
WCDR will be working to help connect you with available services and programs. By supplying your information below you will allow us to share important information with you about assistance available for your specific situation.

WCDR will be advocating on behalf of all West Carleton's affected residents. It is important to us that agencies who fundraise on your behalf and governments understand the specific impacts in our community and that their programming reflects the actual needs of affected residents.

There are will a variety of support programs that you may qualify for and funds that are available to help in recovery. We will do our best to inform you of all of them and assist with applications as volunteers are available.

If you have any questions please email WCDRFlood2019@gmail.com

By completing this form you will be added to our flooded resident's email list. We send regular updates on meetings and other important information. You can unsubscribe anytime.

First Name *
Last Name *
Number *
Street Number
Street Name *
City *
Phone Number *
Email
Number of Adults in Home *
Number of Children Age 0-9 in Home *
Number of Children 10-18 in Home *
Number of Seniors In Home - 65+ *
Number of Household Members with Disabilities or Critical Health Issues *
Number of Household Members with Mobility Issues
Would you like to also be added to our community update email list? You will receive emails regarding flood preparation, flood risks and spring freshet updates. *
Property Ownership *
If you own more than one property please tell us about them in separate forms.
Status *
Check One
Evacuation Status
Clear selection
Home Based Business
Do you run a business from your home?
Clear selection
Drinking Well Water *
Using Well *
For other purposes. ie bathing, washing etc?
Using Septic System *
Suspected Structural Damage *
Water Damage to Main Living Areas *
Water Damage to Finished Basement *
Water Damage to Unfinished Basement or Crawlspace *
Damage to Home Systems *
Furnace, Hot water heater, etc.
Considering Raising Building to Reduce Risk of Flooding *
Would Be Interested In A Buyout If The Province Offered It. *
Please tell us if you have other issues not outlined.
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