Storm Damage Assessment Form

Listed below is a form to assist the City in collecting information about your personal storm damage The results of this information will assist in possibly obtaining FEMA relief for eligible people. The form is outlined below and is also available at

http://www.portsmouthva.gov/news/2009/Damage-Assessment-Notice.pdf


During the recent storm of November 11-14, 2009, private and public properties were damaged by floodwaters and high winds.

The city conducted preliminary damage assessments throughout the city and is currently conducting the next step in the damage assessment process. This is where we need your help. To provide the most accurate assessment of damage and make certain flood victims can be eligible for federal assistance, if it is offered, please let us know if your property sustained flood or wind damage during this storm.

Your response to the following questions will be most valuable:

1. Name ___________________________________________
2. Phone Number ____________________________________
3. Address of damage____________________________
4. Type of damage ____ wind ____ flood
5. Dollar Value of damage to the building_________________
6. Dollar Value of damage to contents ____________________
7. Do you have a Flood Insurance Policy ____ yes ____ no
8. Comments:________________________________________

___________________________________________________

___________________________________________________

Please respond to these questions by email, voicemail, or by mail:
-- Email to damageassessment@portsmouthva.gov
-- Leave a telephone voicemail message at (757) 393 – 8035
-- or, mail this notice to Permits and Inspections/Damage Assessment, 801 Crawford Street, Portsmouth, VA 23704.

Thank you in advance for your assistance in this important effort.