Flood Impact Assessment

Entries marked with * are mandatory.

If your property is in danger of imminent flooding outside of normal business hours please call 0800 096 0306
Data Protection
The information provided by you on this form will be shared and used by the Local Authority, Police, Severn Trent, Environment Agency, Internal Drainage Boards and other appropriate agencies to assist in assessing the impact of the flooding incident, planning future flood management and assessing the recovery needs of the community. This information will not be shared for any other reason unless required to do so by law. Further information about the use of your personal information is included on the last page of this form.
Are you happy for the flood data to be used in this way? *