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CLAIM REGISTRATION

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We work for you, the property homeowner, to make sure you are paid fairly by the insurance company. There is absolutely no upfront cost for our services. We are paid on a contingency basis after the deductible has been met.

DEAN ADJUSTERS REPRESENTATIVE

If you're already working with one of our adjusters

YOUR FULL NAME

CO-INSUREDS NAME (IF APPLICABLE)

PHONE NUMBER

CO-INSUREDS EMAIL (IF APPLICABLE)

PROPERTY ADDRESS

HOME, CONDO OR BUSINESS?

INSURANCE COMPANY

POLICY NUMBER

DID YOU ALREADY FILE THE CLAIM?

Yes

CLAIM NUMBER (IF FILED)

CAUSE OF LOSS

DATE OF LOSS

If you don't know your date of loss, it's okay; we will analyze your claim, documentation and weather data.

YYYY

DESCRIPTION OF YOUR CLAIM

CLAIM REGISTRATION

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Don’t Fight Your Insurance Alone!

NEED TO SCHEDULE AN INSPECTION?

DEAN ADJUSTERS LLC