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Protection of Your Personal Information

Orange County Government recognizes and appreciates the importance of responsible use of information collected on this site.

Information may be saved for a designated period of time in order to comply with the State of Florida's archiving policies.

Additionally, some information may be disclosed to third parties or other government agencies, as required by state or federal law.

Read Orange County's full Privacy Policy and Terms of Use.

Damage Assessment

Form

This Damage Assessment Form is provided as a service to citizens of Orange County. Damage Reports can also be filed by calling the Office of Emergency Management at 407-836-9140. Please fill out this form completely to report damage following an event.

Your Name*

Street Address*

Characters left: 1800

Email Address

Phone Number*

Description of damaged item
(e.g. structure, person)

Characters left: 1800

Brief assessment of
damage/nature of damage*

Characters left: 1800

Security Code*