FORTIFIED Home Evaluation Application

Choosing to have a FORTIFIED Home™ evaluation conducted is important to understanding where your home is vulnerable to severe weather. A FORTIFIED Home is more resistant to damage from high winds and wind-driven rain common in thunderstorms, tropical storms, hurricanes and hailstorms. With three levels of FORTIFIED designation available -- Bronze, Silver and Gold -- you can choose a level of protection best suited to your budget and resilience goals. Take the first step and complete the FORTIFIED application below. Fields marked with an * are required.

Home Owners

1. Applicant Information

*I am :
*Application Type :

2. Property Owner's Name

*Title :
*First Name :
*Last Name :
*Email :
*Confirm Email :

3. Property Address

*Address Line1 :
 Address Line2 :
*City :
*State :
*ZIP / Postal Code :
*Country :

Mailing Address

    
If Mailing Address is the same
*Address Line1 :
 Address Line2 :
*City :
*State :
*ZIP / Postal Code :  
*Country :
*Day Phone Number :   Ext.
 Cell Phone Number :

4. Property Information

*Estimated year your home was built?               
*Which category best describes your home?
Is this part of a Project?
*Are you working with a FORTIFIED Evaluator?
 
* If Yes, Please provide Evaluator Name

5. Tell Us About Your FORTIFIED Goals

*Which FORTIFIED Home program are you interested in?
*Which level of FORTIFIED designation are you interested in achieving?
*How did your hear about the FORTIFIED Home?