1 Start 2 Complete Criteria: Primary residences where as a result of the weather: • flood water has entered into the habitable areas; or • flood water did not enter into the habitable areas, but the local authority regards that the residence was otherwise considered unliveable for any period of time (e.g. because of lack of access, restricted services, or other serious damage) Name * Address * Post code * Email address Phone number Is/was the property unliveable? * Yes No Is/was access to the property severely restricted? * Yes No Are/were key services such as sewerage, draining and electricity severely affected? * Yes No Is/was it advisable to vacate the premises for any period of time due to significant damage? * Yes No Please provide details of the damage to the property: * Upload up to 5 photographs of the damage Upload up to 5 photographs of the damage:Files must be less than 2 MB.Allowed file types: gif jpg jpeg png avi mov mp3 ogg wav. Upload up to 5 relevant documents, such as insurance reports Upload up to 5 relevant documents, such as insurance reportsFiles must be less than 2 MB.Allowed file types: txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. Do you have insurance which includes flood damage? * Yes No Bank account number * Sort code * Name on bank account *