Damage Report Form 

Please complete the information below if you are a resident of Candler County and your home was damaged during the recent weather event. This form is strictly for residences - not for land, property, or other structures.

The details you provide will be forwarded to the Candler County Emergency Management Agency. Our staff will use this information to assess the extent of damage in the area, and a team member may contact you to complete a more detailed damage assessment if needed.

Thank you for helping us support recovery efforts in Candler County.

First Name

Last Name

Street

City

State

Zip

Email Address

Primary Phone Number

Preferred Contact Method

Email

Phone Call

Text

Description of Damage

Is the Structure Livable?

Yes

No

Additional Comments

Upload Photo(s) of Damage

Upload

FileExample.pdf

Max File Size: 10 MB

Submit

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