Q. Is the mailing address same as the affected address?
A. Yes

Q. Do you have a Basement, Crawl Space or Utility Room?
A. Basement

Q. Is the Water backing up through the floor drain?
A. Yes

Q. Is the Water clear or is there raw sewage?
A. Water Clear

Q. Is your basement still flooded?
A. Yes

Q. Are you Disabled or a Senior Citizen that Needs Assistance?
A. Yes

Q. Do you have large items that require 2 or more people to move?
A. No

Q. Do any of your neighbors on your side of the street have water back up also?
A. Yes

Q. Date of damage?
A. June 26, 2021 12:00

Q. Is the Customer on the HDTAP List (Check the HDTAP Eligible list provided)
A. No

Q. Do you have a child under 10 in the house?
A. No

Q. Do you need cleaning sanitation services?
A. No

Q. Additional Information
A. Resident had the city come out and provide assistance but there is a main break and it is shooting into her basement. She was advised that they will be back within 48 hours but has not had anyone return. This occurred on 7/9. Still waiting for assist