King County says sewage carries disease-causing contaminants and needs careful, thorough cleanup. Most backups come from a blockage in the building's side sewer, which is private property. If there is more water than mops and sponges can absorb, King County suggests a professional water damage restoration service.
First steps after a sewage backup: protect people, then make calls
Before any cleanup, deal with the risks to people. King County's guidance puts safety first, then getting help from your sewer agency, your insurer and, if needed, a restoration crew.
- If the area can't be closed off, children under 2, adults over 60 and anyone with respiratory problems, allergies or a weak immune system should leave the home.
- Stay out of standing sewage. Wading in risks electric shock, contamination and injury from moving water.
- Switch off breakers and unplug appliances in the affected area, but never while standing in or touching the water.
- Call your local sewer agency and your insurance company straight away.
- Photograph everything before you move it.

What causes sewage backup: usually a blocked side sewer
Your insurer and local sewer agency can help you work out the right course of action.
Health risks of sewage in a basement
King County notes it contains disease-causing contaminants, and flooded areas add the danger of electric shock and injury.
- Contamination: sewage carries disease-causing organisms, so cleanup must be careful and thorough.
- Higher-risk people: young children, older adults and those with breathing problems or weak immunity should leave if the area can't be isolated.
- Electrical: water and live circuits together can cause shock, so cut power safely first.
Insurance after a sewage backup: check coverage and document first
King County advises knowing ahead of time what your home insurance covers for sewer backups. You do not have to wait for the adjuster: you have the right to start emergency mitigation before an adjuster calls you back. We will tell you what to expect before you file anything.
We write the scope in Xactimate, the pricing software insurers use, so it holds up with adjusters, and in most losses we bill your carrier directly instead of you. For insurance, an estimate is only required for putting the house back together.
Mop it up yourself or hire a crew: what tips the decision
King County suggests a professional restoration service when there is more water than mops and sponges can absorb.
- Small amount, area can be isolated: follow Public Health — Seattle & King County's indoor sewage cleanup steps.
- More than mops can handle: King County points to professional water damage restoration.
- Hidden moisture: we bring infrared cameras and moisture detection equipment to find it behind surfaces before it becomes mold.
- If a wet wall bay gets closed up anyway, you end up paying for the same repair again next spring.
- Our technicians are IICRC certified.

How a sewage cleanup estimate works: we see it first
We can't give a number before we've seen the property, and we won't guess at a figure sight unseen. We come out, look at your home, and then sit down with you to go through an estimate.
Written bids let you compare scope and price side by side, and reference checks show reliability and communication. Before you sign, look the contractor up on Washington L&I's free Verify tool.
Common questions
Who should I call first after a sewage backup?
They can help decide the right course of action.
Can my family stay in the house?
If the affected area can't be isolated, King County says children under 2, adults over 60 and anyone with respiratory ailments or weakened immunity should leave right away.
Can you tell me the cost over the phone?
No. A figure only comes after we've looked at it in person; then we sit down with you and go through the estimate together.
When can I reach you?
We answer 24 hours a day, seven days a week, at (206) 856-3173, or you can send a request online.
What happens next
See our water damage restoration servicesSources
- Cleaning up a sewage spill - King County, Washington — kingcounty.gov
- Sewer Service | Bothell WA — City of Bothell, Sewer Service
- Flood Cleanup: Protecting Indoor Air Quality - October 2018 — U.S. Environmental Protection Agency

