Receive a FREE inspection for your low hazard-potential dam!
Upon receipt of your registration, one of our Dam Safety team members will contact you to schedule the inspection at a date and time
that works for you. We will mail your free inspection report and breach inundation map to you 3-4 weeks after we have completed the
inspection.
Owner / Contact Information
First Name*  
Last Name*  
Company Name
Email Address*  
 
Phone Number*  
Mailing Address*  
City*  
State*  
Zip Code*  
Dam / Property Information
This free inspection program applies to low hazard-potential dams only. If you do not know the hazard classification or legal description
of your dam, you may still submit this form and our staff will contact you for dam and property information.

Dam Name
NID#
County
Section
Township
Range
Directions to the Dam