We ONLY work for YOU, not the insurance company

Hurricane & Tropical Storm
Claim Registration Form

Step 1 of 3

To secure our services, please complete the information below.

Please remember that we work for you, the property homeowner, to make sure you are paid fairly by the insurance company. There is absolutely no upfront cost to our services. We charge a fee of 10% of the amount of money you receive after the hurricane deductible has been meet.

We will file claims only on those homes, businesses and condominium or commercial structures after we confirm Hurricane or Tropical Storm damage in excess of your hurricane deductible.

Please note that we are working on a first come, first served basis.

Full Name *
Email *
Phone *

Full Name of Second Person on Policy (if applicable)
Phone of Second Person on Policy (if applicable)

Address
Street Address *
City *
State *
ZIP code *
House, Condo or Commercial? House Condo Commercial

Homeowners Insurance Company
Policy Number Did you already Call the Claim In? Yes No
If so, what is your Claim Number?
In Dollar Amount, what is the Amount of your Hurricane Deductible?
It is stipulated as a percentage of your A Coverage.
If you cannot find this, please make sure to attach a Copy of your Coverage in the Uploads section below
Claim Type Hurricane
Date of Loss
Cause of Loss
Describe your Damage
Please provide as much detail as necessary to explain the cause of loss or damage to your home.

Please make sure to attach a Copy of your Insurance Declaration Page

Upload Documents
Please upload any photos of damage that you may have available. Please upload a photo of your insurance declaration page, damages and correspondence with your insurance company if applicable.

You can attach any of the following file types: jpg, jpeg, gif, png, pdf. Maximum allowed total upload is 8MB.