Damage Form - BCPA.OnlineForms.Web.FrontEnd

Catastrophic Structural Damage Report Form

Section 197.319, Florida Statutes, provides for property tax relief by way of a refund for residential improvements rendered uninhabitable for at least 30 days due to a catastrophic event. Please complete the below questionnaire. We will contact you directly for additional information.

Parcel ID:

The parcel id is required and must be valid.

Click here to find your Parcel ID

Primary Owner:

The primary owner name is required.

Secondary Owner:

Property Address:

The property address is required.

Apt, Unit, Suite, etc:

City:

The city is required.

Property Type:

Cause of Damage (Check all that apply):

Flood

Hurricane

Tornado/Wind

Fire

Other

Description of the damage:

The damage description is required.

Phone Number:

The phone number is required and must be valid.

Email Address:

The email address is required and must be valid.

Please complete captcha.