July 2020 Flood Assessment | City of Mission

Name*

First Last

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Water Level in Structure (Approx. Feet)*

Percentage Damage:*

Please enter a number from 0 to 100.

(Enter a whole number representing percent of damage)

Building Type*

Status*

Home Owner’s Insurance*

Estimated Income*

Do you participate in the National Flood Program*

Property Value:*

Estimated Loss:*

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