claims
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Claim Information
EMS
OTR
Residential
Commercial
Daily Claim
CAT Claim
Insured Information
First Name
Last Name
Phone Number
Phone Number 2
Email Address
Address
Address 2
City
State
FL
Zip
County
Alachua
Baker
Bay
Bradford
Brevard
Broward
Calhoun
Charlotte
Citrus
Clay
Collier
Columbia
DeSoto
Dixie
Duval
Escambia
Flagler
Franklin
Gadsden
Gilchrist
Glades
Gulf
Hamilton
Hardee
Hendry
Hernando
Highlands
Hillsborough
Holmes
Indian River
Jackson
Jefferson
Lafayette
Lake
Lee
Leon
Levy
Liberty
Madison
Manatee
Marion
Martin
Miami-Dade
Monroe
Nassau
Okaloosa
Okeechobee
Orange
Osceola
Palm Beach
Pasco
Pinellas
Polk
Putnam
Saint Johns
Saint Lucie
Santa Rosa
Sarasota
Seminole
Sumter
Suwannee
Taylor
Union
Volusia
Wakulla
Walton
Washington
-COUNTY NEEDED-
OTR Details
Claim Number
-
Examiner Name
Examiner Phone
Examiner Email
CAT Code
Repair/Replace
Repair
Replacement
Roofer To Determine Repair vs. Replace
Roofing Material
Shingle - Architectural Shingle
Tile - Clay
Tile - Concrete
Tile - Slate
Tile - Metal
Metal - Corrugated Roof
Metal - Galvanized Roofing
Metal - Pan Roof
Metal - R-Panel Roof
Metal - Standing Seam
TPO - Rubber Roofing
Custom - Specialty Roofing
IA Square Count
IA Estimate
Roof Surfaces Percentage
None
99%
98%
97%
96%
95%
94%
93%
92%
91%
90%
89%
88%
87%
86%
85%
84%
83%
82%
81%
80%
79%
78%
77%
76%
75%
74%
73%
72%
71%
70%
69%
68%
67%
66%
65%
64%
63%
62%
61%
60%
59%
58%
57%
56%
55%
54%
53%
52%
51%
50%
49%
48%
47%
46%
45%
44%
43%
42%
41%
40%
39%
38%
37%
36%
35%
34%
33%
32%
31%
30%
29%
28%
27%
26%
25%
24%
23%
22%
21%
20%
19%
18%
17%
16%
15%
14%
13%
12%
11%
10%
9%
8%
7%
6%
5%
4%
3%
2%
1%
The insured is represented by a public adjuster or attorney
PA/Attorney Office
PA/Attorney First Name
PA/Attorney Last Name
Representative Phone
Representative Email
Remaining Deductible Applied to Roof
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