Collect Hurricane & Flood Damage Reports from Homeowners

This ready-to-use hurricane and flood damage report captures how water entered the home, how high it rose, damaged areas, insurance details, and photos.

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Homeowner Hurricane & Flood Water Damage Report Form

Homeowner Name

· · ·

Email Address

· · ·

Phone Number

· · ·

Submit

This hurricane and flood water damage report form template gives homeowners a simple, structured way to document storm-related water damage to their property. It starts by collecting the homeowner's name, email, phone number, damaged property address, and property type, along with insurance coverage details such as the insurance company and policy number. Homeowners then describe the storm event, including the date the damage occurred, the type of weather event, how water entered the home, the highest water level inside, which areas were affected, and the overall damage level, plus a detailed written description.

The template is ideal for county and city emergency management offices, disaster recovery and relief organizations, insurance agents, public adjusters, water damage restoration companies, HOAs, and property managers who need accurate damage information quickly after a hurricane, tropical storm, or flood. A built-in upload field lets homeowners submit photos and videos of the damage, while questions about whether the home is currently livable and what hazards are present help you prioritize urgent cases and keep inspectors and crews safe.

Replacing paper forms and phone calls with an online report saves valuable time when every hour counts. Homeowners can submit from any phone, tablet, or computer, and you receive organized, consistent information ready for damage assessments, insurance claims support, or aid distribution. Customize the questions, add your branding, and share the form by link, email, or website embed to start collecting damage reports right away.

3 Pages

20 Questions

~7min To complete

Free No credit card needed

Field types Multiple Choice ×5 Dropdown ×3 Full Name Email Phone Address Short Text Date number Long Text File Upload Single Choice termsandconditions Signature

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Homeowner & Property Information 7 questions

Homeowner & Property Information

1 Homeowner Name * Full Name

2 Email Address * Email

3 Phone Number * Phone

4 Damaged Property Address * Address

5 Property Type * Dropdown

6 Insurance Coverage on This Property * Multiple Choice

7 Insurance Company & Policy Number Short Text

Page 2 Storm Event & Damage Details 8 questions

Storm Event & Damage Details

1 Date Damage Occurred * Date

2 Type of Weather Event * Dropdown

3 How Did Water Enter the Home? * Multiple Choice

4 Highest Water Level Inside the Home (inches) number

5 Areas of the Property Damaged * Multiple Choice

6 Overall Damage Level * Dropdown

7 Detailed Description of the Damage * Long Text

8 Upload Photos & Videos of the Damage * File Upload

Page 3 Current Conditions & Certification 5 questions

Current Conditions & Certification

1 Is the Home Currently Livable? * Single Choice

2 Hazards Currently Present at the Property * Multiple Choice

3 Steps Taken to Prevent Further Damage * Multiple Choice

4 I certify that the information in this report is true and accurate to the best of my knowledge, and I authorize the reviewing party to contact me and inspect the property to assess the reported damage. * termsandconditions

5 Homeowner Signature * Signature

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.