City of Seabrook Forms

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Winter Storm Uri Damage Report

  1. Please let us know if your home has suffered storm damage
    Please complete this form if your home has suffered damage as a result of Winter Storm Uri. This includes damage that occurred due to frozen/busted pipes.

    Please DO NOT use this form to request direct assistance or disaster relief. This form is not considered an insurance claim, you will have to report your damage to your insurance company. The City of Seabrook collects this information for disaster recovery purposes.
  2. Has your home been damaged as a result of the winter storm?*
    Please indicate yes if you have damage from frozen pipes which are now leaking.
  3. What is the estimated cost of damage?*
  4. Leave This Blank:

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