RENO COUNTY
125 West First Ave.
Hutchinson, Kansas 67501
(620) 694-2915
Fax: (620) 694-2987

Owner's Name:*

Property Address:*

City, State, Zip*

Mailing Address (if different from above):

Phone:*

Alt Phone:

Type of Property*

Single Family Multi-Family Business

Mobile Home Other

Owner*

Yes

No

Occupied*

Yes

No

Home Owner's Insurance*

Yes

No

Renter's Insurance*

Yes

No

Flood Insurance*

Yes

No

Not Insured*

Yes

No

Degree of Damage

Select Inaccessible Affected Minor Major Destroyed

Need Help?

Damage Guidelines PDF

Appraisal Data (1)

Land & Improvement of Real Property & Structure

Pre-disaster county appraised value

Degree of damage (percentage)

Dollar loss of property (line 1 * line2)

Est. Dollar of Insurance Recovery

Est. Dollar Loss or Uninsured Loss (Line 3 minus Line 4)

Est. Percent of Uninsured Loss

Appraisal Data (2)

Personal Property

Pre-disaster county appraised value

Degree of damage (percentage)

Dollar loss of property (line 1 * line2)

Est. Dollar of Insurance Recovery

Est. Dollar Loss or Uninsured Loss (Line 3 minus Line 4)

Est. Percent of Uninsured Loss

Appraisal Data (3)

Inventory of Machinery & Equipment

Pre-disaster county appraised value

Degree of damage (percentage)

Dollar loss of property (line 1 * line2)

Est. Dollar of Insurance Recovery

Est. Dollar Loss or Uninsured Loss (Line 3 minus Line 4)

Est. Percent of Uninsured Loss

Brief Description of the the damage to the structures due to flooding:

Will the damage to the property be repaired prior to January 1st, 2020?*

Yes No

Not Sure

Is the property located in a floodplain?*

Yes No

Not Sure

If yes or not sure, please contact Mark Vonachen, Floodplain Administrator at 620-694-2978 or at mark.vonachen@renogov.org. Repairs to a damaged structure cannot begin until a damage assessment has been completed. Reno County Resolution 2009-29 governing floodplain development and FEMA regulations require an assessment of the structure be completed and floodplain permits issued before repairs begin. Any structure damaged by more than 50% of the fair market value shall be brought into compliance with the floodplain regulations.

For questions regarding this form contact the Reno County Appraiser's Office at 620-694-2915 or the Reno County Office of Emergency Management