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Flood Impact Survey

 

We need your help identifying how the spring 2009 flood impacted you and/or your organization or your community. We will use this information to help us evaluate how to best distribute charitable dollars raised through our flood funds.


Flood Impact Survey

First Name:

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Last Name:

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Email Address:

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Are you and Individual, Business or Organization? Choose one:

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What affected regional area are you from?

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How were you affected by the flood or the aftermath of the flood? Please give a detailed description so we may better understand your situation. Please include everything from property damage & loss to inability to work &/or loss of wages.

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