Lincoln County Echo Mountain Fire and Straight-line Wind Event Resource and Communication Survey

First Name

Last Name

Mailing Address

Are you the property owner or renter?

Renter

Owner

Would you like our County Resource Navigator to contact you to assist with housing or other needs?

Yes

No

Preferred Communication (Pick all that apply)

Text

Email (We will use email for recovery updates)

Phone Call

Other (please describe below)

Phone Number

Email Address

If you prefer another communication method, please describe it below.

Were you impacted by the wildfire?

Yes

No

Were you impacted by the straight-line winds?

Yes

No

What are you most in need of? (Select one or more)

Select or enter value

If you have other needs not listed above, please describe them below.

What have you already applied for or requested? (Select one or more)

Select or enter value

If you applied for or requested other needs, please describe them below.

Send me a copy of my responses