Damage Report: individual

Use this form to report damage resulting from natural or human-caused disasters.

Damage to individual property must be to a primary residence and not covered by an insurance policy.

When you complete this form, it allows us to report county-wide impacts to state and federal officials.

Impacted individuals must report damage expenses in order for the county to be considered to receive financial assistance. However, there is no guarantee that financial assistance will be available to Clackamas County residents.

Reporte de Daņos: Individual

1. Your Info   2. Property Info   3. Comments   4. Review
* required field
Date of Damage: *
date format example: MM/DD/YYYY
Full Address:*
Contact Person:*
Contact Phone:*
()
Contact Email:*