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Form Test

Form TestKitsap DEM2023-03-09T08:58:08-08:00

First Name *

Last Name *

Phone Number *

Email Address *

Occupant *

Owner

Renter

First Name *

Last Name *

Phone Number *

Email Address *

Address 1 *

Address 2

City *

State *

Zip Code *

Estimated Pre-Disaster Fair Market Value of Structure (FMV)

Estimated Structure Loss / Damage

Estimated Personal Property Loss / Damage

Primary Cause of Loss / Damage

Flood

Snow

Rain

Wind

Fire

Landslide

Earthquake

Other

Type of Insurance

Flood

Homeowners

Renters

Landslide

Earthquake

Other

Deductible

Category of Loss / Damage

Affected

Minor

Major

Destroyed

Describe your loss and/or damages

Optional: Upload a photo of the damage

Click or drag a file to this area to upload. Max size is 2MB. JPG or PNG.

Choose File

NEWS

> CERT training begins October 23
> READY BREMERTON 2025 – Free Disaster Preparedness Fair
> “Ready, Set, Go!” campaign promotes clear evacuation messaging
> Ribbon Cutting at Open House
> Severe Weather Shelters open March 17

EVENTS

> Extreme Winter Storm Shelter Training

Mailing address: 8900 Imperial Way SW, Bremerton, WA 98312 (construction to be completed July, 2024)

Office Hours: 8:00 am – 4:30 pm (Monday-Friday)
Email: dem@kitsap.gov

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LINKS

NEWS

> CERT training begins October 23

> READY BREMERTON 2025 – Free Disaster Preparedness Fair

> “Ready, Set, Go!” campaign promotes clear evacuation messaging

> Ribbon Cutting at Open House

> Severe Weather Shelters open March 17

EVENTS

> Extreme Winter Storm Shelter Training