Summit County, Ohio - Damage Assessment Request
** For Local Government Use Only- if you are a resident, in need of assistance, please reach out to your local government.

For questions, please email EMAPlans@summitoh.net 

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Name of Requesting Community
Contact for Requesting Community (include a name, phone number and email address)
Date Damage Occurred
MM
/
DD
/
YYYY
Reason for Damage Assessment Request
Address(es) of areas to be assessed (please include a brief description of the damage)
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