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Water Damage Emergency Services
Water Extraction
Sewage Cleanup
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Basement Waterproofing – Division
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Hazardous Materials
HazMat Removal
Mould Removal
Black Mould
Asbestos Removal
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Content Damage – Division
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PROPERTY LOSS CLAIM FORM
Property Insurance Information
If you have any questions on filling out the form, please call 416-900-7524
Insured Details
Insured name *
Email *
Phone number *
Incident Information
Nature of Claim *
Water Damage
Wind Damage
Fire Damage
Mould
Reconstruction
Claim Dispute
Property Type *
Home
Condo
Business
Industrial
Water Type
Clean Water - (CAT 1)
Out Dorr Water - (CAT 2)
Sewage Water - (CAT 3)
Hazardous Water - Other
Incident Date
Incident Time
Claim Number
Policy Number
Insurance Company Information
Insurance Company Name *
Adjuster Name *
Adjuster Email *
Adjuster Mobile Phone Num *
Adjuster Office Phone *
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Insurance Company Address
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General Information
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email address
info@floodtech.ca
location address
400 Creditstone Rd Unit 19, Concord, ON Canada. L4K3Z3