Initial Damage Assessment - Non-Flood
The purpose for conducting Initial Damage Assessments is to identify the impact, type, and extent of disaster damage within your community while identifying the resources needed for the community to recover.

If you have sustained damage to your home or business during the recent event please complete this form and click submit to report your damage to your municipality and/or Kane County.

The information you provide here may help Illinois qualify for a Federal Disaster Declaration and Federal disaster assistance. By submitting this form you are NOT applying for Federal disaster assistance.

About your property
1 - What is your street number? *
Your answer
2 - What street is your home/business on? *
Your answer
2a - What Community are you in? (drop down menu) *
3 - What type of structure was damaged? *
Indicate if damaged structure is: SF - Single Family Home MF - Multi Family Structure (Apartment Building, Duplex, 2-Flat, etc.) MH - Mobile Home B - Business
4 - Do you rent or own? *
Tell use about your damage
5 - Is your home/business habitable without repair? *
Minimal damage to structure and occupant can live in the dwelling without making repairs. Shingles missing on small area of roof. Gutters and soffit torn from house.
6 - Is your home/business habitable with few repairs? *
Structure is damaged and uninhabitable but may be made habitable in a short period of time. Windows and/or doors blown in. Less than 50% damage to dwelling/business (not based on dollar value of structure). Shingles missing on small area of roof. Gutters and soffit torn from house. No holes in walls or roof or very small holes that do not impact structural integrity.
7 - Is your home/business uninhabitable/needs extensive repairs? *
Substantial roofing elements damaged or missing (e.g., roof decking, trusses/framing). Damage to windows, doors, exterior walls, interior wind damage, rain/water damage, extensive debris and utility problems. Mobile home is pushed off foundation
8 - Is your home/business a total loss (not feasible to repair)? *
Only foundation remains. Two or more walls destroyed and roof substantially damaged or destroyed. Mobile home is pushed off foundation/mobile home frame damaged/twisted.
9 - Do you have insurance? *
Determine, if possible, if the occupant has Home Owners or Renters insurance. If they do not have any insurance, select None. If it can’t be determined, select UNK (for Unknown).
10 - What other information do you feel we need to know about your damaged home/business?
• If #7 or #8 is marked YES, briefly describe the damage here. Examples of brief descriptions are: basement wall collapsed, house/mobile home off foundation, large foundation cracks.
• Other types of common information to be recorded in this column using the corresponding letter are:
A - No one living in dwelling at time of storm/event
B - Dwelling was not a primary residence
C - Roof/Wall covered with tarp or plywood
D - No one home during damage assessment, cannot determine damage or no visible outside damage.
E - No one home during damage assessment, information obtained by observation or from another source (neighbor, local official).
Your answer
You have completed the form, please click "SUBMIT"
For Official Use Only
Your answer
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