Complimentary Claim Review

If your property has been damaged, please complete this brief form. This will give us an idea as to your specific situation when we speak with you. If you’d rather not fill in the form but would still like to let us know about your damage so that we can help you get a full, fair settlement, you can call us at (954) 463-8100.

Two things to consider for a Claim Review:

Even if you are unsure of whether or not your damage would be worthy of filing, you should submit your information to us. Often times damage that goes unrepaired turns into a bigger problem later.
After a storm, you may have damage that is not visible to the untrained eye. If you are in an area where properties around you have sustained damage, there’s a good chance that your property also has damage. Fill in the form, let us know about it and one of our adjusters will be able to advise you as to the best way to proceed.

Once you submit your information, one of our associates will contact you to follow up. We look forward to assisting you with your claim.

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Name*

First Last

Email Address*

Enter Email Confirm Email

Primary Phone Number*

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Alternate Phone Number

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Address*

Street Address Address Line 2 City State ZIP Code

Type of Property*

If "Other" Please Specify*

When did the damage happen?*

Insurance Provider*

Policy Number*

Are you working with a Public Adjuster?*

Yes

If "Yes", who are you working with?*

Damage caused by?*

If "Other" Please Describe

How extensive is the damage?*

Have you already started making repairs?*

Yes

Brief Description*

How soon should we call you?*

Additional Notes or Comments