Report Flood Impacts
This data assists the City of Crisfield in applying for grant funding for flood mitigation. Your personal information and exact address will not be shared.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address where flooding occurred
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is this your address?
Yes
No
Date of flooding
-
Month
-
Day
Year
Date
How were you impacted
Home
Car
Stranded
Loss of work
Plumbing
Electricity
Evacuated
Other
How long did the flooding last?
Less than 3 hours
Between 3 and 12 hours
Between 12 and 24 hours
More than 1 day
More than 2 days
The flooding is still actively occurring
How deep was the flood water on the road in the deepest area?
0 - 3 inches
3 - 6 inches
6 - 12 inches
1 -2 feet
2 -3 feet
More than 3 feet
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