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Damage Report - January 2023 Winter Storms

  1. Damage Report - January 2023 Winter Storms

    Please provide information regarding damages related to the January 2023 winter storms. This information can aid the county and those affected in their recovery efforts. This is not an insurance form. You will not be compensated for damages by filling out this form.

  2. 1. Where in Humboldt County do you live?
  3. 1b. Are you reporting for your home or business?
  4. If yes, please follow this link to make a report to PG&E: https://www.pge.com/en_US/safety/report-emergency/gas-leak.page

  5. 7. If you own or run a business, how was it impacted?

    Select all that apply

  6. For items 9 through 11, please indicate business revenue, personal income, and other financial losses or storm-related expenses below.
  7. 12. What communications and data systems were unavailable to you during the storms? (Check all that apply.)
  8. 13. Please select the most accurate statement about your household’s disaster preparedness.
  9. 14. Please select all that apply:
  10. Sign up for Humboldt Alert
    If you have not already done so, please sign up for Humboldt Alert to receive emergency messages targeted for your area.
  11. Leave This Blank:

  12. This field is not part of the form submission.