Thurston County Disaster Damage Estimate Form


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 business losses, please click here.

 


Personal Information (all fields are required):

      First Name:             Last Name:

      Address (where damage occurred):       

      Mailing Address (if different):

      City:              Zip:        (5-digit zip only)

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


Damage Information:

      Estimated Pre-Disaster Fair Market Value of the Structure: $(whole dollar amounts only)

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

      Estimated Structure Loss in dollars:  $ (whole dollar amounts only)

      Estimated Personal Property Loss in dollars: $ (whole dollar amounts only)

      Primary Cause of Damage?       Date Damage Occurred: 

      Type of Insurance: 

      Deductible Amount: $

       Is the property habitable?      Accessible?   

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

           Destroyed - Total Loss, Permanently Uninhabitable

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

           Minor - Conditional use, repairable in under 30 days

           Affected - Living unit damaged, but still inhabitable.

 

      Description of damages:

            

 

      Contact Name         Phone

      Email: