*1.Grower Entity Name
(Required.)

*2.How many acres do you own, and in what counties?(Required.)

3.What is your estimated total fruit loss (as a percentage of county if possible)?

4.What is your estimated total tree loss (as a percentage by county if possible)?

5.What is the estimated acute wind damage to trees, if any?

6.What is the total estimated acreage in standing water, (as a percentage by county if possible)?