TC Seroja 2021 - Primary Industries damage assessment/impact survey

The purpose of this survey is to check in with you and to understand the impacts the cyclone had on your property, and to understand the recovery needs of all rural properties that have been affected in your area. We recognise you may have already provided this information to your insurance provider or damage assessor, please note this important information will inform the State Recovery process to determine the levels of impact for funding.

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* 1. Welfare check - Are you and your family ok? Is there further assistance you require?

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* 2. Contact Information

Name *

Property size (ha)

Shire/Local Government

Email *

Phone

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* 3. What industry are you in? Tick any/all which are relevant.

Livestock

Broad acre cropping

Horticulture

Other (e.g. Small Ac / Lifestyle

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* 4. Have you had any infrastructure, machinery or equipment damage or losses?

Yes