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Property Loss Program
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WATER/FIRE RESTORATION CLAIMS
CLAIM INFORMATION
Carrier: Capital Insurance Group (CIG)
California Capital Insurance Company
Nevada Capital Insurance Company
Eagle West Insurance Company
Monterey Insurance Company
Claim Number:
CIG Adjuster:
Adjuster Phone:
Adjuster Email:
property@CIGinsurance.com
(Include claim number in subject line)
POLICYHOLDER INFORMATION
Name:
Contact Phone:
LOSS INFORMATION
Loss Address:
Residential
Commercial
Date of Loss:
First Notice of Loss:
Source of Loss:
Has source been stopped?
Yes
No
Type of Service Needed (water mitigation, structural cleaning, mold, etc.):
Affected Rooms (kitchen, bathroom, bedroom, etc.):
Affected Rooms (kitchen, bathroom, bedroom, etc.):
Flooring Type(s) in Affected Rooms (wood, vinyl, tile, carpet, etc.):
Has electricity been shut off to affected area?
Yes
No
Is the HVAC system functional in affected area?
Yes
No
Parking/Access Instructions for ServiceMaster Crew:
Submit
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