Small Business Administration Questionnaire
Home Address:
Your answer
Do you rent or own your home?
If you own your property, is it currently leased or rented?
Does your renter have contents insurance?
Which type of insurance do you have?
Does the total cost of repairs exceed insurance coverage?
If you answered yes to the previous question, what was the total cost of damage? Please provide property and content values separately. (Leave blank if you do not know the cost of damage)
Your answer
What was the cost covered by your insurance? Please provide property and content values separately. (Leave blank if you do not know the cost of damage)
Your answer
Has your home structure shifted from its foundation?
If you are willing to let the Small Business Administration contact you for follow-up questions, please list your preferred contact method:
Your answer
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