Thurston County Disaster Damage Estimate Form

for Businesses Only

Please complete the form below to report both insured and uninsured storm damages and losses in Thurston County.  These reports will help justify a request for federal disaster assistance programs in the community.

 

Please answer all questions to the best of your ability.  Thank you.

 

If reporting residential losses, please click here

 

Personal Information (all fields are required):

       Business Name

       Business Owner's Name (last, first):        

      Address (where damage occurred):     

      Mailing Address (if different):

      City:             Zip:     

      Do you own or lease the property where the damage occurred?  

Damage Information:

      Estimated Pre-Disaster Fair Market Value of the Business: $

      (if unsure of your property's value, click here to view the Assessor's assessed value.)

      Estimated Structure Loss in dollars:  $

      Estimated Business Furnishings / Inventory Loss in dollars: $

      Primary Cause of Damage to the Business:   Date Damage Occurred: 

      Please specify insurance type:     

      Deductible Amount: $  

      Number of days business was closed due to the disaster:   days.

      Do you have Business Continuity Insurance?          

      Please choose a degree of damage category (please check only one):

           Destroyed - Uninhabitable, total loss

           Major - Significant or Structural, >50% value, Uninhabitable

           Minor - Conditional use, repairable in under 30 days

           Affected - Business damaged, but still operational.

 

      Description of damages:

          

 

      Contact Name:    Phone:     

      Email: