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NRWA has developed a survey in the federal staff logs program for them to complete on the systems that they have assessed that were affected by the Ice Storm.  Since you do not have access to the NRWA logs as state staff, we have developed the same survey for you to complete that will in turn be entered into the NRWA survey form by our office staff.

Please complete the form below.

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Estimated percentage.
Cost in $.
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