Skip to Main Content
Loading
Close
Loading
Community Alert
COVID-19 VACCINE
Read on Leer on
About Us
Departments
Community
Online Services
Home
Forms
Waseca County Emergency Management Damage Report for Residents/Businesses
Leave This Blank:
Name:
*
Address
*
City
*
Phone Number
*
Type of property
*
Home
Business
Ownership
*
Own
Rent
Rental Owners Name
Do you have insurance?
*
Yes
No
Insurance company been notified?
*
Yes
No
Date of damage
*
Estimated amount of damage?
Type of damage
*
Flood
Wind
Hail
Fire
Other
Flood (check all that apply)
foundation cracking
foundation bowing
water seepage
six or more inches of water in basement
furnace or water heater damaged
water on main level of home
electrical outlets damaged
Hail (check all that apply)
damage to siding or windows
damage to roof or walls
damage to other buildings
Wind (check all that apply)
damage to siding or windows
damage to building structure (roof, walls, etc
damage to other buildings
Fire (check all that apply)
damage to walls or roof
damage to other buildings
Percent of Fire damage
Other (please explain)
Additional Information
* indicates required fields.
Live Edit
Close
Home
Agendas & Minutes
Bids
Code Red
Employment Opportunities
Interactive County Map
Online Tax Payments & Print Tax Statement
Salary Notification
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow