Debris Pickup Request Survey - HURRICANE BERYL
Thank you for taking the time to complete this survey. Our community has faced significant challenges due to Hurricane Beryl, and the Polk County Office of Emergency Management (OEM) is committed to ensuring a swift and effective response. The information provided in this survey will enhance our ability to allocate resources appropriately and expedite the debris removal process.
Important:
Please complete this form only if you were affected by Hurricane Beryl. Debris removal must follow the FEMA guidelines, and you can find detailed information on categorizing debris types at FEMA's Debris Removal Guidelines.
Categories of Debris:
Vegetative Debris: Tree limbs, branches, logs, plants, and other organic material.
Construction and Demolition Debris: Building materials, drywall, lumber, carpeting, furniture, and plumbing.
Household Hazardous Waste: Oils, batteries, pesticides, paints, cleaning supplies, and other chemicals.
White Goods: Refrigerators, washers, dryers, stoves, air conditioners, and other appliances.
Electronics Waste: Televisions, computers, radios, and other electronic devices.

Please Note:
Ensure all debris is sorted and placed separately in the right-of-way for efficient collection. DO NOT place debris directly under power lines, on top of utility meters, or in front of hydrants.

By providing accurate information, you'll help us prioritize and plan debris pickup in the most efficient way possible. Thank you for your cooperation and for helping us rebuild a safer and stronger community.

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* 1. Email

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* 2. Name

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* 3. Address

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* 4. Type of Home

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* 5. Name of Subdivison
If no subdivison, leave blank.

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* 6. Cause of Damage

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* 7. Do you have debris from Hurricane Beryl that needs picked up?

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* 8. What type of debris needs to be picked up?

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* 9. A PHOTO OF YOUR DISATER DEBRIS, SORTED AND STAGED ON THE ROAD RIGHT OF WAY, MUST BE UPLOADED TO COMPLETE THIS SURVEY.

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