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Job Request
Flood? Log a job here
Home
> Job Request
Flood Job Request
Company name/Brand*
Claim/Reference Number*
Policy Type*
Contents
House
Policy excess*
Yes
No
Excess to be collected*
Yes
No
Customer/Insureds Name
Address of damage
Contact Home Phone:*
Contact Work
Contact Mobile
Contact Email Address
Details of Claim
Date of Flood/carpet damage/staining*
Description of Claim*
Rooms Affected*
Kitchen
Dining room
Lounge
Hallway
Entrance
Laundry
Bathroom
Toilet
Bedroom 1
Bedroom 2
Bedroom 3
Rumpus/basement
Office
Additional rooms
Carpet Type/ Flooring*
Has an Assessor been appointed?*
Yes
No
Assessors Details
Contact Phone:
Contact email:
Customer Manager Handling Claim
Name
Direct Dial
Email
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