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S. Is the mailing address same as the affected address?
J. No
J. No
S. Do you have a Basement, Crawl Space or Utility Room?
J. Basement
J. Basement
S. Is the Water backing up through the floor drain?
J. Yes
J. Yes
S. Is the Water clear or is there raw sewage?
J. Dark Water
J. Dark Water
S. Is your basement still flooded?
J. No
J. No
S. Are you Disabled or a Senior Citizen that Needs Assistance?
J. No
J. No
S. Do you have large items that require 2 or more people to move?
J. No
J. No
S. Do any of your neighbors on your side of the street have water back up also?
J. Yes
J. Yes
S. Date of damage?
J. June 26, 2021 11:08
J. June 26, 2021 11:08
S. Do you have a child under 10 in the house?
J. No
J. No
S. Do you need cleaning sanitation services?
J. No
J. No
S. Additional Information
J. Personal property damaged
J. Personal property damaged
2 Faalladas
La qiray City of Detroit Water and Sewerage Dept. (La Caddeeyey Rasmi ah)
La xidhay City of Detroit Water and Sewerage Dept. (La Caddeeyey Rasmi ah)