Report Damage

Webster County KY Damage Assessment - Internet Report
First Name: *
Last Name: *
Address of Property Being Reported 
Street Number: *
Street Name: *
City: *
Zip: *
Telephone Number(s) 
Home:
Cell:
Work:
Best Time to Call: *
Preferred Number to Use: *
Property Type:   Single FamilyMulti-Family
Vacation Home
BusinessOther
If Business, Business Name:
If Other, please describe:
Ownership:  * 
 Construction: WoodMasonryMobile Home
ManufacturedOther
 If Other, please explain:  
Insurance: NoneHomeownersFlood - Contents
Flood - StructureSewer BackupOther
If Other, please explain:
Damages:  HVACWater HeaterElectricity
Natural GasRoofFoundation
WindowsSewerAppliances
If Flooded - Highest Depth of Water In: 
Basement:
1st Floor:
2nd Floor:
Comments: