Flood Survey - Print; Fill out; Send to City

Help the City of Woodstock learn the FULL extent of flooding losses.

Permission granted to photocopy this Survey and further distribute.

CLICK on the link to the right "Flood Survey - Print..." (survey will appear on its own page)

Flooding Survey
August 6-7, 2007 Flooding

Address: ______________________________________________, Woodstock, Illinois

In the August 6-7, 2007, rainfall:

ڤ Did your property suffer damage? ___ No (Stop here and return survey)
___ Yes (Proceed)

ڤ What type of damage? ___ Sewer back-up
___ Flooding
___ Other (describe) _______________
_________________________________________________________________
_________________________________________________________________

ڤ What was damaged?

___ Basement ___ Living Quarters
___ Furniture ___ Household items
___ Yard, driveway ___ Personal property (photos, etc.)
___ Outside storage ___ Vehicle(s)

ڤ Estimate total loss: $__________________
Include damage to house, property, vehicle(s), possessions, loss of use, lost wages, clean-up expenses, reduction in property/home value, medical expense, etc.

ڤ Did you report your damage to the City of Woodstock? ___ Yes ___ No
If no, report it now by telephone (815-338-6118) and in writing to pwdept@woodstockil.gov and/or to 121 W. Calhoun St., Woodstock, IL 60098.

Send Survey (keep a copy for your records) to

Tim Clifton, City Manager, City of Woodstock
121 W. Calhoun St., Woodstock, IL 60098
CityManager@woodstockil.gov
FAX: 815-334-2269

Notify The Woodstock Advocate that you have returned the survey to the City of Woodstock.

Email to Gus@WoodstockAdvocate.com
Watch www.WoodstockAdvocate.com for further news.