Report of Flooding - 9/27/19
Please use this form to describe the flooding you experienced on your property in Peotone on September 27-28, 2019.
Email address *
Name *
Your answer
Address Where Flooding Occurred *
Your answer
Telephone Number *
Your answer
Property type? *
Do you have a *
If you have a basement, how do you use it? (Check each that applies)
On September 27-28, did you have flooding in your (check all that apply) *
Required
During the flooding, what was the depth (in feet) of the flooding in the basement/crawlspace?
Your answer
Flooding in your home occurs from what source? (Check all that apply)
How long have you lived (or had a business at this address? *
Your answer
How many times have you experienced flooding in your home since you moved in?
Have you tried any measures to flood proof your residence or business? *
What measures have you tried to flood proof your residence or business? (check all that apply)
Even though you may not be located in the regulatory floodplain, are you currently participating in the National Flood Insurance Program? (e.g. Do you have flood insurance for your home?) *
What is the estimated value of the damage to your home or business from flooding on 9/27 and 9/28?
Your answer
Describe the damage.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy