Webster County Storm Shelter Reporting Form

Residential Storm Shelter Registry

"*" indicates required fields

Comments

This field is for validation purposes and should be left unchanged.

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Alternate Phone

Type of Shelter

Other shelter type

Special Considerations

Invalid: Disabled/Handicapped

Animal: Possible vicious dog or another animal present

Security: Locked gates or other items responders may have to deal with.

Other

Other special considerations

Location of Shelter

Out of Town or Other Contact

Name

First Last

Phone

Alternate Storm Location

Please let us know another address or location you might be at during or after a storm.

Alternate Location Name

Alternate Location Address

Street Address City State ZIP Code

Name of your responding fire department

If not known, we will coordinate by address of shelter.)

Other information

This information will be confidentially maintained by Emergency Management personnel and used only in the event of structural damage from sever weather or other related incidents in your area.

Webster County Storm Shelter Reporting Form

Residential Storm Shelter Registry

Out of Town or Other Contact

Alternate Storm Location

Offices

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Contact Information