Damage Self Report

This portal is to be used to report damages within Alachua County following an incident. This portal is for initial damage reporting only. Please fill out the below form to report storm or disaster related damage to your home or business. Submission of this form does not guarantee any type of financial assistance. This form is for information purposes only and will be used when submitting county-wide damage assessments to the State of Florida and FEMA. Information provided here may be considered a public record under Chapter 119, Florida Statutes, and may be subject to public disclosure.

Language: English / Spanish

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Location

Emergency event:

This report is for:

Damage Report Type is required

Address:

Address is required

Zipcode:

Five digit Zipcode is required

Description

Please describe the damage:

Add Images:

Upload Photos

*Do not put yourself in danger to get a photo*

Please enter the following information if this is your property:

Is this a business?

Yes

Don't Know

If yes, enter the business name:

Is the home/business flooded?

Yes

Unknown

Do you have homeowners/business/renters insurance?

Yes

Unknown

Do you have flood insurance?

Yes

Unknown

Were the residents displaced?

Yes

Unknown

If Yes, how many people were displaced from the home?

Florida Public Records statement

I understand that information provided here may be considered a public record under Chapter 119, Florida Statutes, and may be subject to public disclosure.

Yes

Required

Contact Information

Please provide the following information about yourself:

Contact Name:

Name is required

Your Phone Number:

Phone Number is required

Your Email: