Inspection Request "*" indicates required fields Requesting Attorney Email* The email to which all reports, estimates, and correspondence are to be sent when complete.Email Client Estimate File*Required Carriers Estimate file goes hereAccepted file types: jpg, gif, png, pdf, txt, Max. file size: 99 MB.Declaration File*Required Declaration Page goes hereAccepted file types: jpg, gif, png, pdf, txt, Max. file size: 99 MB.Any Additional FilesUpload any additional relevant documents for this assignment Drop files here or Select files Accepted file types: jpg, gif, png, pdf, txt, Max. file size: 99 MB. Wait for files to upload before hitting submit. You could get an error until the files finish being transferred to us.Name Insured per Policy*If Commercial, please use the Last as Business name from Declaration page First Last or Business Name Risk/Loss Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Client*HiddenPhone_Client_Type HiddenName_Type ClaimNo* ONE claim per entry, Please.Policy No* Commercial or Residential Commercial Residential Property Date of Loss* MM slash DD slash YYYY Type Of LossCollapseDrain BckEarthquakeFireFloodFreezeHailHurricaneIce/SnowLightningOtherSewageSmokeTornadoVandalismWaterWindHiddenInsured Commercial Name on declaration pageInsurance Company* HiddenLossAddr_Type HiddenEntryDate MM slash DD slash YYYY HiddenDwelling / Building LimitHiddenDeductible HiddenACV/RCV ACV RCV HiddenPrior PaymentHiddenLaw & Ordinance Coverage Additional Notes