Report a basement flood

Report a basement flood

This form is used to collect information on basement flooding. It assists the Municipality of Leamington with infrastructure and program planning, and we appreciate you sharing this information with us.

The information provided is retained and used by the Municipality of Leamington for the purpose of reviewing occurrences and severity of flooding on properties and neighbourhoods.

This form is not monitored for questions or requests. Please direct questions or service requests to leamington.ca/reportanissue or 519-326-5761 and we will be happy to assist you.

Form instructions:

All fields marked with an * must be completed.
Please ensure all information provided is accurate.

Flood Address Information

Street Number

Street Name

Apartment/Unit

City/Town

Province

Postal Code

Flood Information

Date of Flood

Do you have a sump pump

Yes

No

I don't know

Did you lose power (electricity) during the flooding event?

Yes

No

I don't know

Do you have a back-up sump or a battery back-up for your sump pump?

Yes

No

I don't know

Do you have a backwater valve?

Yes

No

I don't know

Contact Information

First Name

Last Name

Primary Phone Number:

Email Address:

Privacy Statement:

Personal information on this form is collected subject to the Municipal Freedom of Information and Protection of Personal Privacy Act R.S.O. 1990, c. M. 56 and may be subject to disclosure to third parties in accordance with the provisions of that Act. The personal information collected on this form will be used for infrastructure and flooding assessment. Questions about the collection of this information may be directed to the Manager of Legislative Services/Clerk, Municipality of Leamington, 111 Erie Street North, Leamington, Ontario N8H 2Z9, Telephone 519-326-5761.

Report a basement flood

Flood Address Information

Flood Information

Contact Information

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