This is for Initial Damage Reporting Only. If there is an emergency, please dial 911.
This form is sent to Collier County Emergency Management. THIS IS VOLUNTARY. Your participation, in this information gathering, helps us collect reports of damages so we have the ability to assess the highest impacted areas. This is not a form for local, state, or federal assistance.
Location
Damage Report Type is required
A street name is the required minimum
Zipcode is required, please use only numerals
Description
Upload Photos
Please enter the following information if this is your property
Yes
No
Don't Know
Owner
Renter
Yes
No
Don't Know
Yes
No
Don't Know
Yes
No
Don't Know
Personal Impact
Yes
No
How many people live in your household?
Contact Information
Please provide the following information about yourself
By clicking on Submit, the information entered into this system will be considered public record.