Assign A Claim

Carrier Information
Carrier
Referral Type
Referral Type
Insured/Resident Information
First Name
Last Name
Address
Street Address

Street Address
Address Line 2

Address Line 2
City

City
State / Province / Region

State / Province / Region
ZIP / Postal Code

ZIP / Postal Code
Phone
Evening Phone
Email
Is Owner Information Different?
Is Owner Information Different?
- Yes
This Is An Attorney Represent File. Do Not Contact The Insured Directly. If this is an attorney represent file, please check "yes" to fill out some information about the point of contact.
This Is An Attorney Represent File
- Yes
Attorney Contact Info
First Name
Last Name
Phone
Email
Owner Information
First Name
Last Name
Address
Street Address

Street Address
Address Line 2

Address Line 2
City

City
State / Province / Region

State / Province / Region
Zip / Postal Code

Zip / Postal Code
Phone
Evening Phone
Email
Policy Information
Claim Reference #
Policy Number
Deductible Amount
Policy Limits
Dwelling
Contents
Other
Loss Information
Loss Date
MM slash DD slash YYYY
Loss Type
Is Emergency
- Yes
Loss Description
Adjuster Information
First Name
Last Name
Independent Adjuster:
Email For Confirmation Of Assignment:
Assigned Franchise
By clicking "Submit," you agree to our Terms of Use, which contains a mandatory arbitration provision.

About Paul Davis Restoration Paul Davis Restoration provides services to clean up and repair damage to residential and commercial properties due to water, fire, mold, storm or other disasters. Founded in 1966, Paul Davis is a rapidly growing network of more than 300 independently owned and operated locations in the United States and Canada. Watch Video

Male Paul Davis Restoration staff member working on the computer to help customer

Mobile Male Paul Davis Restoration staff member working on the computer to help customer

Paul Davis Is Certified, Qualified
& Professional Paul Davis Is Certified,
Qualified & professional Paul Davis locations across the US are ready to respond to your property damage, 24/7.

We'll contact you within 30 minutes of your call

We’re onsite within hours

We document your process thoroughly

We serve you with empathy and concern for your situation

Learn more

Carrier Information

Referral Type

Insured/Resident Information

Attorney Contact Info

Owner Information

Policy Information

Policy Limits

Loss Information

Adjuster Information