April 26-27, 2023 Storm Survey
The purpose of this form is for residents of Polk County to inform the OEM of impacts from the thunderstorm that occurred on April 26, 2023 and April 27, 2023.
THIS SURVEY IS FOR INFORMATIONAL PURPOSES ONLY.
Sign in to Google
to save your progress.
* Indicates required question
At your property, did you experience any of the following?
I'd like to report the following storm related impacts to my property:
Power lines down
Damage to home
Damage to vehicle
If your home or vehicle was damaged, is it insured?
No home or vehicle damage
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service