Lafayette County Property Appraiser
Wayne McCray, CFA
Hurricane Damage Report Form
(Please fill out the following information and click "Submit Form" at the bottom)
Property & Owner Information:
Parcel ID (STRAP):
Note: Use Record Search to find parcel, then click the [Report Hurricane Damage] button located on the Parcel Details page.
Owner's Name:
Property Address:
City:
Your Phone#:
Your Email:
Estimate Overall Damage:
1)
Was building Uninhabitable or Condemned?
No |
Yes
2)
Was building Leveled or Destroyed?
No |
Yes
3)
Were you displaced from your home for 30 days or more?
No |
Yes
Damage Details:
(Please provide details below if you had less severe damage or answered NO to questions 1 & 2 above)
4)
Roof Damage
Shingle Loss?
No |
Yes
Holes in Roof?
No |
Yes
5)
Exterior Damage
Siding Loss?
No |
Yes
Shutter Damage?
No |
Yes
Holes in Exterior Walls?
No |
Yes
Damage to Screen Enclosure?
No |
Yes
6)
Interior Damage
Stained Floors/Walls?
No |
Yes
Mold/Mildew?
No |
Yes
Collapsed Interior Walls?
No |
Yes
Collapsed Ceiling?
No |
Yes
Electrical Damage?
No |
Yes
7)
Garage and Outbuildings
Any garage, shed, barn, (etc) damage?
No |
Yes
Repair Estimate:
8)
Are the repairs complete?
No |
Yes
(Estimated) Completion Date:
(Estimated) Repair Cost: $
Additional Comments:
9)
Please provide additional details not covered above:
Submit Form
PLEASE NOTE: You can upload photos of your damage on the next screen.
YES, I have checked the above information for accuracy: