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May 2020 Flooding Event: Self-Reporting

2. On May 18-19, multiple Whitehall households experienced basement flooding. Please use this form to self-report your flooding. Your data may be used in future storm water mitigation studies. Please note that this form is not for requesting assistance.

   On May 18-19, multiple Whitehall households experienced basement flooding. Please use this form to self-report your flooding. Your data may be used in future storm water mitigation studies. Please note that this form is not for requesting assistance.

4. First Name*

5. Last Name*

7. Street Number*

8. Street Name*

9. Street Type*

10. Apt #

12. City*

13. State*

14. Zip*

16. E-mail address*

17. Type of residence*
    -- Select One --Single-familyMulti-family

19. Please upload photos of your damage

23. If you had to estimate, how many inches/feet of flooding occured?*
    -- Select One --Under 6 inches6 inches to a footOne to two feetOver two feet

25. Please describe your flooding incident

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field