Individual Damage Report

Use this form to report disaster-caused damages to property at your primary residence within Clackamas County.

Please help meet your community's needs by helping us assess the scope and complexity of damage to Clackamas County by providing information about your losses and impacts from the recent disaster. Your assistance will help identify community needs to apply for federal aid.

For updates on what assistance may be available check back at: https://www.clackamas.us/dm/assistance.html.

Your Information
Property Information
Rent
Own
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
$
$
$
Additional Information / Comments
Yes
No

Help with basic needs (housing, energy assistance, transportation assistance, food assistance)
Senior Services
Disability Services
Developmental Disability Services
Veteran Services