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BCPA - Damage Form

Hurricane Irma
Catastrophic Structural Damage
Report Form

Property Damaged:
Parcel ID:
Owner Line 1*:
Owner Line 2:
Address Line 1*:
Address Line 2:
City*:
Cause of Damage*: Flood
Hurricane
Tornado/Wind
Fire
Other
Description of Damage*:
Type of Property*: Residential
Commercial
Contact Information:
Phone Number*: (Include Area Code)
Email Address*:
 
Source: Broward County Property Appraiser's Office - Contact our office at 954.357.6830. Legal Disclaimer.

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address
released in response to a public records request, do not send electronic mail to this entity.
Instead, contact this office by phone or in writing.