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

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

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

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

Q. Is your basement still flooded?
A. No

Q. Are you Disabled or a Senior Citizen that Needs Assistance?
A. No

Q. Do you have large items that require 2 or more people to move?
A. Yes

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 25, 2021 09:00

Q. Do you have a child under 10 in the house?
A. Yes

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

Q. Additional Information
A. My clothes and few other things sits in my laundry room so whatever was in there or in my sons bedroom closet it was ruined I did not take photos I left home for 3 days I couldn’t take the smell