Maysville-Mason County EM Damage Tracking Form

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This is the standard form for reporting weather damage to Maysville- Mason County EM. It can be used for any damage sustained from a weather or disaster event. Examples include, wind damage from storm, flood Damage, earthquake damage. It may include damage to dwellings, barns, garages etc.

If you need urgent assistance please call 911 during any damaging event. Emergency Management will document any damage and provided it to KYEM. If you have any questions please call us at 606-564-2570.

*Please note that this form is a tracking tool used by MMCEM and not used for financial reimbursement*

Email *

For use in reporting damage to Mason County EM

Name *

Date Of Damage *

YYYY

Address *

Address Of Damage *

Phone Number *

Type of Property? *

Dwelling

Rental

Agriculture (Barn Etc)

Business

Garage

Shed

Vehicle

Required

Severity of Damage? *

Destroyed ( Will require demolition )

Major (Failure of Roof, Walls, Foundation)

Minor (Non-Structural Damage)

Affected (Missing Shingles, Cosmetic Damage)

Inaccessible ( Cant gain access)

Required

List Of Damage Types

Roof Damage

Window Damage

Water Damage

Fallen Trees

Siding Damage

Deck/Fence

Other Information

Send me a copy of my responses.

Submit

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