Umatilla County Damage Assessment
Reporting Individual (Owner or Renter)
First Name
Last Name
Property Street Address
City
Zip Code
Contact Phone Number
Contact Email
Building Type
Primary Insurance Policy Type
Do you have extra insurance coverage?
Estimated Damage Amount
Is your house/property inaccessible?
If yes, what caused the inaccessibility?
Damage Category
Does the property have a basement?
What caused the damage?
Description of damages
Comments (70 Characters)
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