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SFCP Homeowner Application

  1. First Last

  2. (xxx)xxx-xxxx

  3. (xxx)xxx-xxxx

  4. Street Address

  5. 1. Do you own the home or are you a renter in this home?*

  6. 2. Is the home owner-occupied?*

  7. 3. Is the home a single-family dwelling?*

  8. 4. In the past year, have you enrolled in this program for any other properties that you own?

  9. 5. Did you have basement flooding?*

  10. 5e. Did the water go away on its own?

  11. 5f. Did you have property damage?

  12. 5h. If you had property damage, do you have photos of or receipts from the damage?

  13. 5i. Have you ever filed a claim with the City for basement flooding?

  14. 5j. Have you ever contacted the City with regard to basement flooding?

  15. 5l. Have you taken any steps to prevent future basement flooding?

  16. 5n. Do you know if your neighbors have experienced basement flooding?

  17. 6. Have you experienced yard flooding?

  18. 6e. Did the water go away on its own?

  19. 6f. Did you have property damage?

  20. 6h. Do you have photos of or receipts from previous damage?

  21. 6i. Did you ever have basement flooding from yard water coming through your basement windows, basement door, hatch or similar openings?

  22. 6k. Have you ever filed a claim with the City for yard flooding?

  23. 6l. Have you ever contacted the City with regard to the yard flooding?

  24. 6n. Have you taken any steps to prevent future yard flooding?

  25. 6p. Do you know if your neighbors have experienced yard flooding too?

  26. 7. To the best of your knowledge, do you share a common building sewer with other homeowners?

  27. 8. Are you willing and able to attend one (1) Stormwater Flood Control Program Orientation meeting?

  28. 9. Are you willing and able to attend a second (2nd) Stormwater Flood Control Program meeting if necessary?

  29. 11. To the best of your knowledge, does your home currently have a backwater valve installed in your building sewer drain system?

  30. 12. To the best of your knowledge, has your home ever been ther recipient of a City sponsored backwater valve or sump pump program?

  31. By entering your name below you verify that the above questionaire is filled out truthfully and to the best of your knowledge.

  32. Leave This Blank:

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