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Wind Storm December 14 - 15, 2006

     If the wind storm caused major damage to your home, please collect the following information and either fax it to us at 360.417.2583 or email it to us at web_emd@co.clallam.wa.us .  If you have severe damage, you may need to have your home inspected by our Building Department and should contact them to make an appointment.  Their number is:  360.417.2318.  Or email Leon Smith at lsmith@co.clallam.wa.us .

Please copy and paste this information into Word and then fill it out.
Date:
Name, address, city and zip:
Home phone:
Work phone:
Email address:

1.     Describe your damage.  Is your home habitable? Do you own or rent?  Is this your primary or secondary residence?

2.    What type of property is it?  Mobile home, business or farm?

3.     Do you have homeowners insurance?  If so, who is your insurance company?

4.     Estimated dollar amount of damage:

5.     Tax assessment number: