Seismic Building Screening Form

Seismic Building Screening Form
Please provide the following details to help assess the seismic vulnerability and screening priority of your building.
Building Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Building Use / Occupancy
Year Built
Number of Stories
Primary Construction Type
Structural System
Foundation Type
Soil Type / Site Condition
Known Seismic Hazards (Select all that apply)
Other
Previous Seismic Retrofit or Strengthening?
Should be Empty: