Appraisal Request Form - Litigation Support

Law Firm Information

Law Firm Name (Company You Represent)*

Law Firm Contact (Your Name)*

First Last

Law Firm Contact Email (Your Email)*

Law Firm Contact Phone (Your Phone)*

Name of the Homeowner*

First Middle Last

Homeowner Phone

Homeowner's Email

Physical Address of the property to be inspected*

Street Address Address Line 2 City State ZIP Code

Peril

Insurance Carrier

Policy Number

Claim Number

Date of Loss

Notes

Opposing Appraiser's Name*

First Last

Opposing Appraiser's Phone*

Opposing Appraiser's Email*

Who should we bill for our appraisal services ?*

Documents Uploads

Max. file size: 128 MB.

Please make sure to include below the declaration page in effect when the loss occurred.

Additional Notes

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