Full Names as they appear on the Policy separated by semi-colon (;)

Contact Phone *

Best Phone Number

Mobile / Cellular Phone or Landline *

Cell/Mobile

Work Landline

Home Landline

Mobile / Cellular Phone or Landline

Contact Email *

Date of Loss *

When did the loss occur?

Address

Street Address *

Where did the loss occur?

City

State

Country

Postal code

Describe What happened in as much detail as possible *

Full detailed description please

Have you notified your insurance company yet?

Do you have your FULL Policy?

Certified Copy of Your Policy - is the FULL policy certified accurate

Declarations page (Dec Page) - It's the summary

Insuring Agreement - It's the main document with the details

All Endorsements - Like addendums they change the policy

Dec Page = summary-Insuring agreement=main document-Endorsements=addendums to the policy.

Upload Certified Copy of your Policy - Certified by your Carrier to be Accurate

Certified Policy

A certified copy of your policy includes the Dec Page, the Insuring Agreement, and all Endorsements

Upload Dec Pages

Dec pages aka Declarations pages are the summary

Upload Insuring Agreement

Insuring Agreement

The Deatails of the policy, what triggers coverage, how it works, exclusions, responsibilities, etc..

All Endorsements

All Endorsement

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