Colfax County Flood Damage Reporting

Full Name Required

Street Address Required

Phone Number Required

Best number for Emergency Manager to reach you at with questions about flood damage.

Description of Damage Required

Example: basement flooded, living area above the foundation flooded

Do you have structural damage? Required

Yes

No

Description of structural damage

Do you have Homeowners Insurance? Required

Yes

No

Did your Homeowners Insurance pay? Required

Yes

No

Do you have Flood Insurance? Required

Yes

No

Did your Flood Insurance pay? Required

Yes

No

Please list all damaged appliances below.

Example: water heater, furnace, freezer, washer/dryer

Additional Comments