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:
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: