CAT | My Site 10

Referring Atty/PA/Contractor Name

Referring Atty/PA/Contractor Mail

Insured Name

Insured Phone Number

Insured Email Address

Property Address

City

State

Postal Code

Insurance Carrier (Dwelling, Hurricane, Fire, Plumbing, etc)

Policy Number (Dwelling, Hurricane, Fire, Plumbing, etc)

Claim Number (Dwelling, Hurricane, Fire, Plumbing, etc)

Date of Loss

Date of Discovery

Flood - Insurance Carrier (if applicable)

Flood Policy Number (if applicable)

Flood Claim (if applicable)

Summary of Damages

Prior Loss, Date & Type (if Applicable)

Desk Adjuster Name

Deck Adjuster Email & Phone Number

Flood & Demand Dec Page

Atty/PA Emails

Flood & Demand- Sworn Proof of Loss

Misc Property Owner Docs/ Pics

Carrier Correspondence

Prior Claims Info & Docs

Insured Receipts

Flood & Demand Policy

EMS, Water Mitigation, Mold, Plumber Video Reports & Invoices

Misc Demand Doc

Roofer/Contractor Pics, Est. & Docs