Restoration Claim Submission

Please fill out the form below and click submit and we will contact the claimant within 24 hours and arrange a pick-up.

Insurance Company:           Name of Adjuster:    

Claim Number:                       Telephone Number:    eg 585-555-1212

Claimant Name:        Claimant Telephone Number: eg 585-555-1212

Loss Address:            City/Town:    Zip Code: 

Loss type: Fire/Smoke/Soot    Water    Other

Special Instructions: