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Welcome to the North Huntingdon Township, PA, Action Line
Today is Thursday, March 30, 2017.
WARNING! Please do not use this form to request emergency assistance. If your issue is life threatening, please use the telephone and dial 911.
Damage Report

Purpose. This form is used to report damage from the recent incident.

* Information is required.

Contact Information

First Name:
Last Name:
Business Name:
Email:
Daytime Phone: (
Fax: (
Address:
City:
State:
ZIP:

Location of damage / incident:

* Address
   
- Or Other Not Listed -

Invalid Address

The address you entered does not match any in the system. You can select a valid address from the list, or if you are certain the address you entered is correct click the "Use the address I entered" button, to continue.

The address you entered
 
Unit: 

Provide as complete a description as possible of the damage below:
 
Check here to have email confirmation of this submission.

* Information is required.

Notes:

If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.

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