Please complete this form if your home has suffered damage as a result of Winter Storm Uri. This includes damage that occurred due to frozen/busted pipes.
Please DO NOT use this form to request direct assistance or disaster relief. This form is not considered an insurance claim, you will have to report your damage to your insurance company. The City of Seabrook collects this information for disaster recovery purposes.
Please indicate yes if you have damage from frozen pipes which are now leaking.
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