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Residential Damage Assessment Form

  1. OEM Logo
  2. Maury County Emergency Management Damage Assessment Form will help us identify any damage in your area. Should a problem require urgent attention, please call us immediately. For a police/ fire/ medical emergency, dial 911. Otherwise, call (931) 698-6800.
    Thank you for your assistance!
  3. Contact Information
  4. Please indicate the nature of your problem by checking the appropriate box(es) below:
  5. Type of Residence*
  6. Type of Damage*
  7. Habitable*
  8. Owner/Occupants*
  9. Are there IMMEDIATE needs?
  10. Leave This Blank:

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