This form was designed for the citizens of Sangamon County to have a way to report individual damages incurred from disasters affecting Sangamon County. Please fill the form out completely and with as much detail possible describing the damages incurred from the incident. Once this form is submitted it will be reviewed by the Sangamon County Office of Emergency Management. If further information is needed you will be contacted by someone at the Sangamon County Office of Emergency Management. This form is used to by the Sangamon County Office of Emergency Management to gather data after a disaster has occurred to report back to the Illinois Emergency Management Agency. All information collected on this form will be kept confidential and will not be shared with the public. If you incur damages from a disaster you are still required to report damages to your local authorities as well as your insurance company.