Local Business Damage & Impact Assessment

Local Business Damage & Impact Assessment

Share your business’s post-disaster impact details so recovery teams can connect you with resources and track closures and displacement.
Flooding in Sedona & Verde Valley Impact Survey
This assessment is collected in partnership with the Greater Sedona Chamber of Commerce and the Greater Verde Valley Chamber of Commerce to understand local business impacts, track closures and employee displacement, and connect businesses with recovery resources. It is not an insurance or aid application. Individual responses will be kept confidential and shared only in aggregate unless you consent to identifiable sharing. Please do not include sensitive personal or financial information.
Business name
Your name

First NameLast Name
Your role at the business
Business email
example@example.com
Business phone
Please enter a valid phone number.Format: (000) 000-0000.
Business address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Current business status
What was affected? Select all that apply.

Other impact
Briefly describe the damage or business impacts.
How long do you expect to be closed or operating with limited service? (If applicable)
How many employees have been displaced or unable to work because of the impacts?
Which recovery resources would be helpful? Select all that apply.

Other
Is it okay for the team to share your business’s identifiable response with relevant recovery partners to help connect you with resources?
Anything else the team should know?
Should be Empty: