Disaster Assistance Center Survey
For fire information call 970-725-3803 or visit www.gcemergency.com
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Are you registering at the Disaster Assistance Center? (DAC) *
Please provide the names and ages of all household residents.
Address (enter Street Number, Street Name - use county road number - ie. 123 CR 49, City, State, & Zip) *
Is your property insured? *
Please provide the best number to reach you. *
Resident Type
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Do you have any unmet needs?
Online Resources
Fire Incident Info

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