Winter Weather Federal Emergency Disaster Declaration Survey

The objective of this survey is to identify damages across Texas, to help emergency management officials across the state gain an understanding of damages that have occurred during the recent historic winter weather.


Please submit one survey per impacted address.


Reporting damage to Emergency Management is a voluntary activity, is not a substitute for reporting damage to your insurance agency, and does not guarantee disaster relief assistance.


Para la encuesta en español, haz Clic Aquí

    Contact Information


    Impacted Location Information

    Property Information


    Single FamilyDuplexMulti-Family/ApartmentManufactured Home/Mobile Home

    Able to Live in the HomeHome destroyed or major structure repair required


    Disaster Impacts Information

    Winter WeatherFloodWind

    No electricityNo Running WaterNo Natural Gas


    No electricityNo natural gasNatural Gas Leak or Damaged Gas PipesHVAC System FailureNo Running WaterFrozen or Damaged Water PipesFlooding Due to Frozen or Damaged Water PipesSump Pump FloodingCracks or Damage to Building FoundationWind DamageRoof Damage

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