Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Tropical Storm Ida Resident Damage information

  1. Township of Bloomfield New Jersey
  2. Township Of Bloomfield, NJ
  3. Tropical Storm Ida Information Submission Form
  4. Please use this form to submit your initial damages.  The township of Bloomfield is asking all residents and businesses to fill out the form for the purposes of Preliminary Damage Assessments to be used by OEM and FEMA

  5. Swift 911 - Emergency Notification Services
  6. Leave This Blank:

  7. This field is not part of the form submission.