Maysville-Mason County EM Damage Tracking Form
This is the standard form for reporting weather damage to Maysville- Mason County EM. It can be used for any damage sustained from a weather or disaster event. Examples include, wind damage from storm, flood Damage, earthquake damage. It may include damage to dwellings, barns, garages etc.

If you need urgent assistance please call 911 during any damaging event. Emergency Management will document any damage and provided it to KYEM. If you have any questions please call us at 606-564-2570.

*Please note that this form is a tracking tool used by MMCEM and not used for financial reimbursement*

Email address *
For use in reporting damage to Mason County EM
Name *
Date Of Damage *
MM
/
DD
/
YYYY
Address *
Address Of Damage *
Phone Number *
Type of Property? *
Required
Severity of Damage? *
Required
List Of Damage Types
Other Information
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