FLOOD INFORMATION REPORTING FORMAT Report Date:
Enter your information below
Agency/Organization reporting
Person Reporting
Contact telephone number(s)
Contact email
River flooding (yes/no) *
Flash flooding (yes/no) **
Yes No
Date of river flooding
Region / District(s)
Name of Towns/Villages flooded
Location of the area according to Reference Grid provided
Planted crop fields flooded (yes/no)
Number of households in flooded area
Number of households displaced
If households displaced, where are they?
Any other relevant information?
* River flooding definition: The rise of a river to an elevation such that the river overflows its natural banks ** Flash flooding definition: Flooding that develops very quickly on streams and river tributaries
