Report Flood Damage

During a flood, water levels and flow speed can quickly change. You are safest by staying indoors, or seeking higher ground if s

If you were impacted by the recent flooding, please submit the following assessment report on damage and impacts to homes and businesses. Fields that are starred with a red asterisk are required.

Polk County Emergency Management
820 SW Ash St
Dallas, OR 97338
(503) 623-9251

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Name *

Individual, family or business

Address of Damaged/Impacted Structure *

Mailing Address *

City *

State *

Zip Code *

Telephone Number *

Where reporting party can be reached.

E-Mail Address

Type of Residence *

Primary Home

Second Home

Rental

If a Rental, Please Provide Owner Name

Owner Address

Owner City

Owner State

Owner Telephone Number

Home Owner Insurance? *

Yes

Flood Insurance? *

Yes

Detailed Description of Damage/Impact *

Provide a detailed description of the damage or impact. Please also note homes and businesses that were not damaged, but which are directly impacted, such as loss of potable water, loss of septic system, loss of driveway access, etc.

Estimated Cost Associated with Damage/Impact * $

Report Flood Damage

Polk County Emergency Management
820 SW Ash St
Dallas, OR 97338
(503) 623-9251

Resource Center

Contact Information

Report Flood Damage

Polk County Emergency Management 820 SW Ash St Dallas, OR 97338 (503) 623-9251

Resource Center

Contact Information

Polk County Emergency Management
820 SW Ash St
Dallas, OR 97338
(503) 623-9251