Team
Services
Research
Contact
Submit a File
Schedule a Call
Team
Services
Research
Contact
Submit a File
Schedule a Call
SUBMIT A FILE
Client Details
Name:
*
Phone:
*
Email:
*
Company Name:
*
Position:
Address:
*
Province/State:
*
Are you an independent adjuster?
*
Yes
No
What is the nature of your claim?
*
Collision
Fire
Structural
Failure
Other
Date of Loss:
*
Location of Loss:
*
Insured or Client Name:
*
Your File Number:
Insured Info
Name of Insured:
Contact Number:
Third Party Info
Name of Third Party:
Contact Number:
Additional Details
Notes & Instructions
File Upload
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