SlideShare a Scribd company logo
1 of 1
Download to read offline
Basic Damage Report
Type of Event (Fire, Storm, etc): _________________________________ Report Date: ____________________________
Property Name: ____________________________________________ EMAIL:________________________________
Address: _________________________________City : __________________________ County: _____________________________
(with Zip Code)
Contact person: _______________________________________ Contract Phone:_______________________________
Was there any damage due to the event? If yes, please explain:
Were any residents displaced as a result? If so, how many and where were they relocated to?
Are there any vacant units that may be used for housing residents displaced by the event? If so, please indicate as follows:
(Note: availability varies constantly – places contact property for information)
Unit size: 0 BR 1 BR 2 BR 3 BR 4+BR
Subsidized
Un
subsidized Subsidized
Un
subsidized Subsidized
Un
subsidized Subsidized
Un
subsidized Subsidized
Un
subsidized
# of units
available:
# of
Applicants
Waiting List
Date of first
availability
Deposit
amount:
Rent
amount:
Comments:
Resource Description: (Please check all that apply)
Appliances provided: ___Stove ___Refrigerator ___Dishwasher ___Microwave
Utilities provided: ___All ___None ___Cable TV ___Electric ___Propane ___Gas ___Sewer
___Trash ___Water ___Heating Oil
Lease required: ___None ___3 mos. ___ 6 mos. ___9 mos. ___ 12 mos.
___Month to Month Other: ____________
Type of dwelling: ___Apartment ___Mobile Hm. ___ Duplex ___Efficiency ___House
___Condo ___ Room ___Studio ___Townhouse ___Trailer
Please check all that apply to the property: ___Children ___Furnished ___Pets Allowed
___ Handicap Accessible ____Section 8
Completed by: _________________________________

More Related Content

Similar to HUD Basic Damage Report

Grove United Advertisement Order Form
Grove United Advertisement Order FormGrove United Advertisement Order Form
Grove United Advertisement Order FormChris Burt
 
3rd party-auth
3rd party-auth3rd party-auth
3rd party-authnegress007
 
Web page application
Web page applicationWeb page application
Web page applicationCHu Di
 
The G Streets Regitration Form for Underground Battle
The G Streets Regitration Form for Underground BattleThe G Streets Regitration Form for Underground Battle
The G Streets Regitration Form for Underground BattleImfcOwner
 
Patient Info Form
Patient Info FormPatient Info Form
Patient Info FormAcupuncture
 
Road Map and Party Booking Card
Road Map and Party Booking CardRoad Map and Party Booking Card
Road Map and Party Booking CardThrive Life
 
Third Party Verification Form Jan 2021.pdf
Third Party Verification Form Jan 2021.pdfThird Party Verification Form Jan 2021.pdf
Third Party Verification Form Jan 2021.pdfTodd Spodek
 
Avon Customer Survey Cards - This is Boss Life
Avon Customer Survey Cards - This is Boss LifeAvon Customer Survey Cards - This is Boss Life
Avon Customer Survey Cards - This is Boss LifeIrene Eklund
 
Membership Application Form Argyle
Membership Application Form ArgyleMembership Application Form Argyle
Membership Application Form Argyleguest6a5c20
 
Injury report form
Injury report formInjury report form
Injury report formConfidential
 
Good practicetemplate
Good practicetemplateGood practicetemplate
Good practicetemplatemandika
 

Similar to HUD Basic Damage Report (20)

Grove United Advertisement Order Form
Grove United Advertisement Order FormGrove United Advertisement Order Form
Grove United Advertisement Order Form
 
3rd party-auth
3rd party-auth3rd party-auth
3rd party-auth
 
Web page application
Web page applicationWeb page application
Web page application
 
Brss application
Brss applicationBrss application
Brss application
 
The G Streets Regitration Form for Underground Battle
The G Streets Regitration Form for Underground BattleThe G Streets Regitration Form for Underground Battle
The G Streets Regitration Form for Underground Battle
 
Client 1
Client 1Client 1
Client 1
 
Client 1
Client 1Client 1
Client 1
 
Client 1
Client 1Client 1
Client 1
 
Leadership 2 8_14
Leadership 2 8_14Leadership 2 8_14
Leadership 2 8_14
 
MVFC Member Agree PDF Form
MVFC Member Agree PDF FormMVFC Member Agree PDF Form
MVFC Member Agree PDF Form
 
Recovery submission form
Recovery submission formRecovery submission form
Recovery submission form
 
Patient Info Form
Patient Info FormPatient Info Form
Patient Info Form
 
Road Map and Party Booking Card
Road Map and Party Booking CardRoad Map and Party Booking Card
Road Map and Party Booking Card
 
Third Party Verification Form Jan 2021.pdf
Third Party Verification Form Jan 2021.pdfThird Party Verification Form Jan 2021.pdf
Third Party Verification Form Jan 2021.pdf
 
Avon Customer Survey Cards - This is Boss Life
Avon Customer Survey Cards - This is Boss LifeAvon Customer Survey Cards - This is Boss Life
Avon Customer Survey Cards - This is Boss Life
 
Membership Application Form Argyle
Membership Application Form ArgyleMembership Application Form Argyle
Membership Application Form Argyle
 
Consult forms
Consult formsConsult forms
Consult forms
 
Cadastro de cliente
Cadastro de clienteCadastro de cliente
Cadastro de cliente
 
Injury report form
Injury report formInjury report form
Injury report form
 
Good practicetemplate
Good practicetemplateGood practicetemplate
Good practicetemplate
 

More from Ebony Hall

Hurricane procedure reminder notice
Hurricane procedure reminder noticeHurricane procedure reminder notice
Hurricane procedure reminder noticeEbony Hall
 
HUD Preliminary Damage Assessment Appendix A 3
HUD Preliminary Damage Assessment Appendix A 3HUD Preliminary Damage Assessment Appendix A 3
HUD Preliminary Damage Assessment Appendix A 3Ebony Hall
 
HUD Owner Agent Notice
HUD Owner Agent NoticeHUD Owner Agent Notice
HUD Owner Agent NoticeEbony Hall
 
HUD Reporting Losses and Reporting Loss Claims and Insurance Settlements
HUD Reporting Losses and Reporting Loss Claims and Insurance SettlementsHUD Reporting Losses and Reporting Loss Claims and Insurance Settlements
HUD Reporting Losses and Reporting Loss Claims and Insurance SettlementsEbony Hall
 
Chapter 38: Multifamily Emergency/Disaster Guidance
Chapter 38: Multifamily Emergency/Disaster GuidanceChapter 38: Multifamily Emergency/Disaster Guidance
Chapter 38: Multifamily Emergency/Disaster GuidanceEbony Hall
 
Strategic planning for affordable and public housing
Strategic planning for affordable and public housingStrategic planning for affordable and public housing
Strategic planning for affordable and public housingEbony Hall
 
Navigating HR, Pt. 1: Interview &Hiring
Navigating HR, Pt. 1: Interview &HiringNavigating HR, Pt. 1: Interview &Hiring
Navigating HR, Pt. 1: Interview &HiringEbony Hall
 

More from Ebony Hall (7)

Hurricane procedure reminder notice
Hurricane procedure reminder noticeHurricane procedure reminder notice
Hurricane procedure reminder notice
 
HUD Preliminary Damage Assessment Appendix A 3
HUD Preliminary Damage Assessment Appendix A 3HUD Preliminary Damage Assessment Appendix A 3
HUD Preliminary Damage Assessment Appendix A 3
 
HUD Owner Agent Notice
HUD Owner Agent NoticeHUD Owner Agent Notice
HUD Owner Agent Notice
 
HUD Reporting Losses and Reporting Loss Claims and Insurance Settlements
HUD Reporting Losses and Reporting Loss Claims and Insurance SettlementsHUD Reporting Losses and Reporting Loss Claims and Insurance Settlements
HUD Reporting Losses and Reporting Loss Claims and Insurance Settlements
 
Chapter 38: Multifamily Emergency/Disaster Guidance
Chapter 38: Multifamily Emergency/Disaster GuidanceChapter 38: Multifamily Emergency/Disaster Guidance
Chapter 38: Multifamily Emergency/Disaster Guidance
 
Strategic planning for affordable and public housing
Strategic planning for affordable and public housingStrategic planning for affordable and public housing
Strategic planning for affordable and public housing
 
Navigating HR, Pt. 1: Interview &Hiring
Navigating HR, Pt. 1: Interview &HiringNavigating HR, Pt. 1: Interview &Hiring
Navigating HR, Pt. 1: Interview &Hiring
 

Recently uploaded

Item # 4 - 231 Encino Ave (Significance Only).pdf
Item # 4 - 231 Encino Ave (Significance Only).pdfItem # 4 - 231 Encino Ave (Significance Only).pdf
Item # 4 - 231 Encino Ave (Significance Only).pdfahcitycouncil
 
(SHINA) Call Girls Khed ( 7001035870 ) HI-Fi Pune Escorts Service
(SHINA) Call Girls Khed ( 7001035870 ) HI-Fi Pune Escorts Service(SHINA) Call Girls Khed ( 7001035870 ) HI-Fi Pune Escorts Service
(SHINA) Call Girls Khed ( 7001035870 ) HI-Fi Pune Escorts Serviceranjana rawat
 
2024 Zoom Reinstein Legacy Asbestos Webinar
2024 Zoom Reinstein Legacy Asbestos Webinar2024 Zoom Reinstein Legacy Asbestos Webinar
2024 Zoom Reinstein Legacy Asbestos WebinarLinda Reinstein
 
Climate change and safety and health at work
Climate change and safety and health at workClimate change and safety and health at work
Climate change and safety and health at workChristina Parmionova
 
VIP Russian Call Girls in Indore Ishita 💚😋 9256729539 🚀 Indore Escorts
VIP Russian Call Girls in Indore Ishita 💚😋  9256729539 🚀 Indore EscortsVIP Russian Call Girls in Indore Ishita 💚😋  9256729539 🚀 Indore Escorts
VIP Russian Call Girls in Indore Ishita 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
The U.S. Budget and Economic Outlook (Presentation)
The U.S. Budget and Economic Outlook (Presentation)The U.S. Budget and Economic Outlook (Presentation)
The U.S. Budget and Economic Outlook (Presentation)Congressional Budget Office
 
(NEHA) Bhosari Call Girls Just Call 7001035870 [ Cash on Delivery ] Pune Escorts
(NEHA) Bhosari Call Girls Just Call 7001035870 [ Cash on Delivery ] Pune Escorts(NEHA) Bhosari Call Girls Just Call 7001035870 [ Cash on Delivery ] Pune Escorts
(NEHA) Bhosari Call Girls Just Call 7001035870 [ Cash on Delivery ] Pune Escortsranjana rawat
 
Cunningham Road Call Girls Bangalore WhatsApp 8250192130 High Profile Service
Cunningham Road Call Girls Bangalore WhatsApp 8250192130 High Profile ServiceCunningham Road Call Girls Bangalore WhatsApp 8250192130 High Profile Service
Cunningham Road Call Girls Bangalore WhatsApp 8250192130 High Profile ServiceHigh Profile Call Girls
 
2024: The FAR, Federal Acquisition Regulations - Part 28
2024: The FAR, Federal Acquisition Regulations - Part 282024: The FAR, Federal Acquisition Regulations - Part 28
2024: The FAR, Federal Acquisition Regulations - Part 28JSchaus & Associates
 
(PRIYA) Call Girls Rajgurunagar ( 7001035870 ) HI-Fi Pune Escorts Service
(PRIYA) Call Girls Rajgurunagar ( 7001035870 ) HI-Fi Pune Escorts Service(PRIYA) Call Girls Rajgurunagar ( 7001035870 ) HI-Fi Pune Escorts Service
(PRIYA) Call Girls Rajgurunagar ( 7001035870 ) HI-Fi Pune Escorts Serviceranjana rawat
 
Top Rated Pune Call Girls Hadapsar ⟟ 6297143586 ⟟ Call Me For Genuine Sex Se...
Top Rated  Pune Call Girls Hadapsar ⟟ 6297143586 ⟟ Call Me For Genuine Sex Se...Top Rated  Pune Call Girls Hadapsar ⟟ 6297143586 ⟟ Call Me For Genuine Sex Se...
Top Rated Pune Call Girls Hadapsar ⟟ 6297143586 ⟟ Call Me For Genuine Sex Se...Call Girls in Nagpur High Profile
 
Human-AI Collaboration for Virtual Capacity in Emergency Operation Centers (E...
Human-AI Collaborationfor Virtual Capacity in Emergency Operation Centers (E...Human-AI Collaborationfor Virtual Capacity in Emergency Operation Centers (E...
Human-AI Collaboration for Virtual Capacity in Emergency Operation Centers (E...Hemant Purohit
 
Fair Trash Reduction - West Hartford, CT
Fair Trash Reduction - West Hartford, CTFair Trash Reduction - West Hartford, CT
Fair Trash Reduction - West Hartford, CTaccounts329278
 
Junnar ( Call Girls ) Pune 6297143586 Hot Model With Sexy Bhabi Ready For S...
Junnar ( Call Girls ) Pune  6297143586  Hot Model With Sexy Bhabi Ready For S...Junnar ( Call Girls ) Pune  6297143586  Hot Model With Sexy Bhabi Ready For S...
Junnar ( Call Girls ) Pune 6297143586 Hot Model With Sexy Bhabi Ready For S...tanu pandey
 
(TARA) Call Girls Chakan ( 7001035870 ) HI-Fi Pune Escorts Service
(TARA) Call Girls Chakan ( 7001035870 ) HI-Fi Pune Escorts Service(TARA) Call Girls Chakan ( 7001035870 ) HI-Fi Pune Escorts Service
(TARA) Call Girls Chakan ( 7001035870 ) HI-Fi Pune Escorts Serviceranjana rawat
 
(ANIKA) Call Girls Wadki ( 7001035870 ) HI-Fi Pune Escorts Service
(ANIKA) Call Girls Wadki ( 7001035870 ) HI-Fi Pune Escorts Service(ANIKA) Call Girls Wadki ( 7001035870 ) HI-Fi Pune Escorts Service
(ANIKA) Call Girls Wadki ( 7001035870 ) HI-Fi Pune Escorts Serviceranjana rawat
 
Expressive clarity oral presentation.pptx
Expressive clarity oral presentation.pptxExpressive clarity oral presentation.pptx
Expressive clarity oral presentation.pptxtsionhagos36
 
Night 7k to 12k Call Girls Service In Navi Mumbai 👉 BOOK NOW 9833363713 👈 ♀️...
Night 7k to 12k  Call Girls Service In Navi Mumbai 👉 BOOK NOW 9833363713 👈 ♀️...Night 7k to 12k  Call Girls Service In Navi Mumbai 👉 BOOK NOW 9833363713 👈 ♀️...
Night 7k to 12k Call Girls Service In Navi Mumbai 👉 BOOK NOW 9833363713 👈 ♀️...aartirawatdelhi
 
↑VVIP celebrity ( Pune ) Serampore Call Girls 8250192130 unlimited shot and a...
↑VVIP celebrity ( Pune ) Serampore Call Girls 8250192130 unlimited shot and a...↑VVIP celebrity ( Pune ) Serampore Call Girls 8250192130 unlimited shot and a...
↑VVIP celebrity ( Pune ) Serampore Call Girls 8250192130 unlimited shot and a...ranjana rawat
 

Recently uploaded (20)

Item # 4 - 231 Encino Ave (Significance Only).pdf
Item # 4 - 231 Encino Ave (Significance Only).pdfItem # 4 - 231 Encino Ave (Significance Only).pdf
Item # 4 - 231 Encino Ave (Significance Only).pdf
 
(SHINA) Call Girls Khed ( 7001035870 ) HI-Fi Pune Escorts Service
(SHINA) Call Girls Khed ( 7001035870 ) HI-Fi Pune Escorts Service(SHINA) Call Girls Khed ( 7001035870 ) HI-Fi Pune Escorts Service
(SHINA) Call Girls Khed ( 7001035870 ) HI-Fi Pune Escorts Service
 
2024 Zoom Reinstein Legacy Asbestos Webinar
2024 Zoom Reinstein Legacy Asbestos Webinar2024 Zoom Reinstein Legacy Asbestos Webinar
2024 Zoom Reinstein Legacy Asbestos Webinar
 
Climate change and safety and health at work
Climate change and safety and health at workClimate change and safety and health at work
Climate change and safety and health at work
 
VIP Russian Call Girls in Indore Ishita 💚😋 9256729539 🚀 Indore Escorts
VIP Russian Call Girls in Indore Ishita 💚😋  9256729539 🚀 Indore EscortsVIP Russian Call Girls in Indore Ishita 💚😋  9256729539 🚀 Indore Escorts
VIP Russian Call Girls in Indore Ishita 💚😋 9256729539 🚀 Indore Escorts
 
The U.S. Budget and Economic Outlook (Presentation)
The U.S. Budget and Economic Outlook (Presentation)The U.S. Budget and Economic Outlook (Presentation)
The U.S. Budget and Economic Outlook (Presentation)
 
(NEHA) Bhosari Call Girls Just Call 7001035870 [ Cash on Delivery ] Pune Escorts
(NEHA) Bhosari Call Girls Just Call 7001035870 [ Cash on Delivery ] Pune Escorts(NEHA) Bhosari Call Girls Just Call 7001035870 [ Cash on Delivery ] Pune Escorts
(NEHA) Bhosari Call Girls Just Call 7001035870 [ Cash on Delivery ] Pune Escorts
 
Cunningham Road Call Girls Bangalore WhatsApp 8250192130 High Profile Service
Cunningham Road Call Girls Bangalore WhatsApp 8250192130 High Profile ServiceCunningham Road Call Girls Bangalore WhatsApp 8250192130 High Profile Service
Cunningham Road Call Girls Bangalore WhatsApp 8250192130 High Profile Service
 
2024: The FAR, Federal Acquisition Regulations - Part 28
2024: The FAR, Federal Acquisition Regulations - Part 282024: The FAR, Federal Acquisition Regulations - Part 28
2024: The FAR, Federal Acquisition Regulations - Part 28
 
(PRIYA) Call Girls Rajgurunagar ( 7001035870 ) HI-Fi Pune Escorts Service
(PRIYA) Call Girls Rajgurunagar ( 7001035870 ) HI-Fi Pune Escorts Service(PRIYA) Call Girls Rajgurunagar ( 7001035870 ) HI-Fi Pune Escorts Service
(PRIYA) Call Girls Rajgurunagar ( 7001035870 ) HI-Fi Pune Escorts Service
 
Top Rated Pune Call Girls Hadapsar ⟟ 6297143586 ⟟ Call Me For Genuine Sex Se...
Top Rated  Pune Call Girls Hadapsar ⟟ 6297143586 ⟟ Call Me For Genuine Sex Se...Top Rated  Pune Call Girls Hadapsar ⟟ 6297143586 ⟟ Call Me For Genuine Sex Se...
Top Rated Pune Call Girls Hadapsar ⟟ 6297143586 ⟟ Call Me For Genuine Sex Se...
 
Human-AI Collaboration for Virtual Capacity in Emergency Operation Centers (E...
Human-AI Collaborationfor Virtual Capacity in Emergency Operation Centers (E...Human-AI Collaborationfor Virtual Capacity in Emergency Operation Centers (E...
Human-AI Collaboration for Virtual Capacity in Emergency Operation Centers (E...
 
Fair Trash Reduction - West Hartford, CT
Fair Trash Reduction - West Hartford, CTFair Trash Reduction - West Hartford, CT
Fair Trash Reduction - West Hartford, CT
 
Junnar ( Call Girls ) Pune 6297143586 Hot Model With Sexy Bhabi Ready For S...
Junnar ( Call Girls ) Pune  6297143586  Hot Model With Sexy Bhabi Ready For S...Junnar ( Call Girls ) Pune  6297143586  Hot Model With Sexy Bhabi Ready For S...
Junnar ( Call Girls ) Pune 6297143586 Hot Model With Sexy Bhabi Ready For S...
 
(TARA) Call Girls Chakan ( 7001035870 ) HI-Fi Pune Escorts Service
(TARA) Call Girls Chakan ( 7001035870 ) HI-Fi Pune Escorts Service(TARA) Call Girls Chakan ( 7001035870 ) HI-Fi Pune Escorts Service
(TARA) Call Girls Chakan ( 7001035870 ) HI-Fi Pune Escorts Service
 
Rohini Sector 37 Call Girls Delhi 9999965857 @Sabina Saikh No Advance
Rohini Sector 37 Call Girls Delhi 9999965857 @Sabina Saikh No AdvanceRohini Sector 37 Call Girls Delhi 9999965857 @Sabina Saikh No Advance
Rohini Sector 37 Call Girls Delhi 9999965857 @Sabina Saikh No Advance
 
(ANIKA) Call Girls Wadki ( 7001035870 ) HI-Fi Pune Escorts Service
(ANIKA) Call Girls Wadki ( 7001035870 ) HI-Fi Pune Escorts Service(ANIKA) Call Girls Wadki ( 7001035870 ) HI-Fi Pune Escorts Service
(ANIKA) Call Girls Wadki ( 7001035870 ) HI-Fi Pune Escorts Service
 
Expressive clarity oral presentation.pptx
Expressive clarity oral presentation.pptxExpressive clarity oral presentation.pptx
Expressive clarity oral presentation.pptx
 
Night 7k to 12k Call Girls Service In Navi Mumbai 👉 BOOK NOW 9833363713 👈 ♀️...
Night 7k to 12k  Call Girls Service In Navi Mumbai 👉 BOOK NOW 9833363713 👈 ♀️...Night 7k to 12k  Call Girls Service In Navi Mumbai 👉 BOOK NOW 9833363713 👈 ♀️...
Night 7k to 12k Call Girls Service In Navi Mumbai 👉 BOOK NOW 9833363713 👈 ♀️...
 
↑VVIP celebrity ( Pune ) Serampore Call Girls 8250192130 unlimited shot and a...
↑VVIP celebrity ( Pune ) Serampore Call Girls 8250192130 unlimited shot and a...↑VVIP celebrity ( Pune ) Serampore Call Girls 8250192130 unlimited shot and a...
↑VVIP celebrity ( Pune ) Serampore Call Girls 8250192130 unlimited shot and a...
 

HUD Basic Damage Report

  • 1. Basic Damage Report Type of Event (Fire, Storm, etc): _________________________________ Report Date: ____________________________ Property Name: ____________________________________________ EMAIL:________________________________ Address: _________________________________City : __________________________ County: _____________________________ (with Zip Code) Contact person: _______________________________________ Contract Phone:_______________________________ Was there any damage due to the event? If yes, please explain: Were any residents displaced as a result? If so, how many and where were they relocated to? Are there any vacant units that may be used for housing residents displaced by the event? If so, please indicate as follows: (Note: availability varies constantly – places contact property for information) Unit size: 0 BR 1 BR 2 BR 3 BR 4+BR Subsidized Un subsidized Subsidized Un subsidized Subsidized Un subsidized Subsidized Un subsidized Subsidized Un subsidized # of units available: # of Applicants Waiting List Date of first availability Deposit amount: Rent amount: Comments: Resource Description: (Please check all that apply) Appliances provided: ___Stove ___Refrigerator ___Dishwasher ___Microwave Utilities provided: ___All ___None ___Cable TV ___Electric ___Propane ___Gas ___Sewer ___Trash ___Water ___Heating Oil Lease required: ___None ___3 mos. ___ 6 mos. ___9 mos. ___ 12 mos. ___Month to Month Other: ____________ Type of dwelling: ___Apartment ___Mobile Hm. ___ Duplex ___Efficiency ___House ___Condo ___ Room ___Studio ___Townhouse ___Trailer Please check all that apply to the property: ___Children ___Furnished ___Pets Allowed ___ Handicap Accessible ____Section 8 Completed by: _________________________________