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. Murky Water

Q. Is your basement still flooded?
A. No

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 25, 2021 12:00

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

Q. Do you need cleaning sanitation services?
A. Yes

Q. Additional Information
A. I'm 89 years old and disabled, the water had recinded by the time my caregiver came by on Sunday the 27th so I don't know if the water was clear it was dirt on the floor their was no evidence of sewage