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2. Westfield OEM - Storm Damage Report

   Please report any damage you may have incurred to your home or property within the Town of Westfield, NJ using this form. The Westfield Office of Emergency Management is gathering this information to be used when working with FEMA on future storm impact remediation grants for the town. Please work with your insurance company for coverage and reimbursement for the damage. Thank you for taking the time to provide this information as it will help to make our town safer in future storm events.

4. Full Name of Property Owner*
5. Home or Business?

   1. Home

   1. Business
7. Email Address*
8. Phone Number
10. Address of Damage
12. Flood Water House Damage*

    1. No water in house
    2. Water in crawl space or finished basement (with no damage to mechanical components)
    3. Waterline in finished basement or first floor (main) living space
    4. Waterline up to 18" in the first floor (main) living space
    5. Waterline above 18" in the first floor (main) living space
    6. Waterline at the first floor when basement completely full
    7. Waterline at the roofline or higher

    (Select only one description that describes the level of flood damage that most impacts the property.)

14. Other Property Damage*

    1. Cars damaged
    2. Trees down - owner removed
    3. Detached building damage (i.e. garage)
    4. Other
16. If Other, please describe
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field