Completing this form is voluntary and will be used to assist the County of San Diego in collecting damage information associated with the current disaster event. This is an informational gathering document only. The information will be used to determine if the County should request state and/or federal assistance. Completing this form does not guarantee that you will be eligible or receive disaster relief assistance. This is also not a substitution for submitting a claim with your insurance. Any information provided in this form is not confidential and may be subject to disclosure as a public record.