P.O. Box 2768 | Houma, Louisiana 70361 | (985) 868-5050
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Damage Assessment Form
Office of Homeland Security and Emergency Preparedness
This damage assessment form is only preliminary. If you receive damage to your home or business, please complete the form. In the event a Federal Declaration is granted and FEMA is activated, the Office of Homeland Security and Emergency Preparedness will be in touch with you to make sure you have the proper contact numbers for
FEMA
.
Name
Address
Phone #
Email Address
Insurance
Yes
No
Rent
Own
How many people in residence?
Brief Description of Damage :
5/13/2008 Tuesday
Terrebonne Parish Consolidated Government
962 / May
Terrebonne Parish Consolidated Government | PO Box 2768 | Houma, Louisiana 70360 | (985) 868-5050
