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. Raw Sewage

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. 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 22:00

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

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

Q. Additional Information
A. Right now we still need help removing items from the back room in the basement, as well as the washer and dryer. Everything else has been removed.