- Wind Damage
- Wildland Fire
- Structure Fire
- Snow Damage
- Ice Damage
- Vehicle Crash
Property Owner Name and Phone Number (if known)
Type of Damage
Selecting "NO" allows you to enter additional information and add photos.
Debris Present? If yes what types of debris? Please take photo of debris.
Flooding Observed? What is the level of flooding in feet and inches. Please take photo of flooding.
Fallen Trees? Are these trees dead or alive? What size are the trees? How did they fall (twist, uprooted, ect). Please take photo of fallen trees.
Fallen PowerPoles? CAUTION AROUND DOWN POWERLINES.... TREAT EVERY POWERLINES AS IF IT WAS ALIVE!!! Is power out in the immediate location? Is there a fire from the down POWERLINES? How did the lines or poles come down. Please take photo of the down lines.
Please remember to take each photo with the number associated on you DA worksheet.
Please enter any additional comments for this property.
Please enter the date, time, and electronically sign. Submit this damage report or save it and move on to the next property.