Community Flood Assistance – Contact Us

Our Community Flood Assistance and Resilience program helps individuals and businesses in the Chehalis Basin to reduce flood damage to homes and businesses. Please fill out this form to request technical assistance and information about potential resources and programs that can help in your area.

Personal Information

First Name

Last Name

Business Name (if applicable)

Email address

Phone number

e.g. (360) XXX-XXXX

Property information

Street address

Please list the address of the property that you are requesting assistance for.

City

County

ZIP Code

Flood Information

Date of last known flood

Enter month and year of last flood event (MM/YYYY)

What was the source of flooding?

Select the type of inundation you experienced

What was flooded?

Provide a short description of the type of structure(s) and/or property that was affected.

List any other information you would like us to know.

Please limit your response to 500 characters or less, including spaces.

Were you able to find what you were looking for today?*:	Yes No Not sure
What were you trying to find?*:
Please describe your experience. What was challenging? What was helpful? *:	Please include details that will help us address any issues you're reporting. NOTE: There is a 1,500 character limit (including spaces) on this form field.
Was the search tool helpful to you? *:	Yes No I didn't use Search.
How can we improve our website?:	Optional. If you have suggestions, we'd like to hear them! NOTE: There is a 1,500 character limit (including spaces) on this form field.
Your name:	Please include contact information if you'd like a reply.
Email:	If you’d like a reply, please provide an email address.
Phone number:	( ) - Second three digits Last four digits If you’d like us to call you, please provide a phone number.
Which best describes your role in visiting our site today?*:	Business / Consultant / Contractor Government - Local Government - State Government - Federal Government - Tribal Scientist / Researcher Non-profit Washington resident / Public Educator Student Job seeker Ecology employee
PleaseLeaveBlank:	Are you a robot? If not, please do not enter anything in this field.
	ignore
	ignore