Free Claim Review

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Tell us what happened and we’ll review your claim at no cost — no obligation. It only takes a few minutes.

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Company

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Client Information

What type of service are you needing?*

Property Type*

Policyholder Name*

First Last

Company Name

Loss Address*

Street Address City State ZIP Code

Is the mailing address different than the loss address?*

Mailing Address

Street Address City State ZIP Code

Policyholder Email*

Policyholder Phone Number*

Phone Type*

Text Permission - Opt-In Disclosure*

Coppermark Consulting Corps may message you regarding your claim. Message frequency varies. Message and data rates may apply. Text HELP for help. Text STOP to stop.

I have read and understand the Privacy Policy and Terms & Conditions.*

Is Mortgage in good standing?*

Mortgage Company

Is the property for sale or will be listed soon?*

Who referred you to us?*

Referral Source Name*

Please describe what's going on with your claim

Additional Contact

Contact Name

First Last

Contact Phone

Contact Phone Type

Contact Text Permission

Contact Email

Is this person an Additional Insured?

Insurance Information

Insurance Company*

Policy Number

Claim Number*

Cause of Loss*

Date of Loss

When did you file your claim?

Insurance Adjuster, Supervisor, or Carrier's Appraiser Contact

Who have you talked to?

Rep Name

Rep Email

Rep Phone

Checklist of items needed for consideration of PA or Appraisal

Insurance carrier’s most recent scope
Contractor’s most recent scope
Insurance company correspondence (letters, emails, etc.)
Photos — before, during, and/or after build
Policy and endorsements covering the date of loss

Please upload documents below. If you have photos, we’ll send you a link to upload them. If you have a photo link, please put it in the claim description box above.

Files

Drop files here or

Max. file size: 6 GB.

Available for calls 24/7 · We represent you, not the insurance company.

Client Intake Form

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Client Information

What type of service are you needing?*

Property Type*

Policyholder Name*

First Last

Company Name

Loss Address*

Street Address City State ZIP Code

Is the mailing address different than the loss address?*

Mailing Address

Street Address City State ZIP Code

Policyholder Email*

Policyholder Phone Number*

Phone Type*

Text Permission - Opt-In Disclosure*

Coppermark Consulting Corps may message you regarding your claim. Message frequency varies. Message and data rates may apply. Text HELP for help. Text STOP to stop.

I have read and understand the Privacy Policy and Terms & Conditions.*

Is Mortgage in good standing?*

Mortgage Company

Is the property for sale or will be listed soon?*

Who referred you to us?*

Referral Source Name*

Please describe what's going on with your claim

Additional Contact

Contact Name

First Last

Contact Phone

Contact Phone Type

Contact Text Permission

Contact Email

Is this person an Additional Insured?

Insurance Information

Insurance Company*

Policy Number

Claim Number*

Cause of Loss*

Date of Loss

When did you file your claim?

Insurance Adjuster, Supervisor, or Carrier's Appraiser Contact

Who have you talked to?

Rep Name

Rep Email

Rep Phone

Checklist of items needed for consideration of PA or Appraisal

Insurance carrier’s most recent scope
Contractor’s most recent scope
Insurance company correspondence (letters, emails, etc.)
Photos — before, during, and/or after build
Policy and endorsements covering the date of loss

Please upload documents below. If you have photos, we’ll send you a link to upload them. If you have a photo link, please put it in the claim description box above.

Files

Drop files here or

Max. file size: 6 GB.

get started now

Client Information

Additional Contact

Insurance Information

Insurance Adjuster, Supervisor, or Carrier's Appraiser Contact

Checklist of items needed for consideration of PA or Appraisal

Client Intake Form

Client Information

Additional Contact

Insurance Information

Insurance Adjuster, Supervisor, or Carrier's Appraiser Contact

Checklist of items needed for consideration of PA or Appraisal

Call us before you call your insurance — we’ll protect your claim.

Company

Claims

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