Flooding Registry Form

The municipality is asking residents who cannot leave their properties due to road and culvert damage to register via the below online form.

Registering will assist in identifying critical needs of residents so that the municipality can follow up with relevant resources. Residents can anticipate a follow-up email within 24 hours of registering, with subsequent phone calls as needed.

If further assistance is required to complete the online registration, residents can contact 311.

Required fields are marked with an asterisk (*)

Respondent Information *

First Name *

Last Name *

Civic Address of Stranded Respondent *

Address Line 2

Community *

Postal Code *

Current Contact Number *

Email *

Is there any additional support(s) you need addressed?

Access and Privacy Statement

In accordance with Section 485 of the Municipal Government Act (MGA), any personal information collected on this form will only be used by municipal staff and, if necessary, individuals and/or organizations under service contract with the Halifax Regional Municipality for purposes relating to processing the HRM Flooding Response form.
If you have any questions about the collection and use of this personal information, please contact the Access and Privacy Office at 902.943.2148 or privacy@halifax.ca.