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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.
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* Indicates required question
Resident Name
*
Your answer
Resident Address
*
Your answer
Resident Phone
*
Your answer
At your property, did you experience any of the following?
*
Strong winds
Hail
Required
I'd like to report the following storm related impacts to my property:
*
Trees down
Power lines down
Damage to home
Damage to vehicle
Other:
Required
If your home or vehicle was damaged, is it insured?
*
Yes
No
No home or vehicle damage
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