Submit Claim | Flood Doctor

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REPORT A LOSS

Water Damage Restoration Claim

Step 1 of 3

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YOUR INFORMATION
Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

INSURANCE INFORMATION
If you have not submitted a claim yet or don't have some of this information you can leave it blank for now.
INSURANCE COMPANY
POLICY NUMBER
CLAIM NUMBER
DEDUCTIBLE AMOUNT

ADJUSTER INFORMATION
If you can not be assigned a claims rep or have not yet filed a claim, you can leave this section blank for now.
ADJUSTER'S NAME
First Last
Number
Email
TYPE OF LOSS*
DATE OF LOSS*
Tell us about the claim
Size of the damaged area, type of flooring, amount of furniture and contents etc...
Comments
This field is for validation purposes and should be left unchanged.

REPORT A LOSS

Step 1 of 3

YOUR INFORMATION

INSURANCE INFORMATION

ADJUSTER INFORMATION

Thank you for trusting Flood Doctor with your water damage emergency.

Flood Doctor’s Rapid Response units respond to claims 24 hours a day, 7 days a week.

If you need to speak with a project manager you can always reach us on our 24/7 Emergency line:

Text or Call

24/7 Emergency: (703)498-1581

Customer Service: 1(877)497-0007

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