State Representative Shawn Thierry District 146 Interest in FEMA Buyout
Please fill out all of the following information if you are interested in pursuing a FEMA buyout for your property. More information on this program can be found here: https://www.hcfcd.org/media/1730/voluntarybuyoutprogramfema.pdf
Email address *
First Name *
Last Name *
Preferred Phone *
Alternate Phone
Street Address *
Zip Code
Email *
Has you house flooded before? *
If YES, how many times has your house flooded before?
Has your home been declared a severe repetitive loss by FEMA? *
Has your home been designated as substantially damaged in this flood or any prior flood? *
Do you live in the 100 year flood plain? *
Do you live in the 500 year flood plain? *
Do you have an elevation certificate? *
If YES, in which year did you receive your elevation certificate
Do you have an official survey of your home? *
If YES in which year did you receive your official survey?
Is there anything else you feel it is important to share with us about your property at this time?
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