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Submitting Project...
Project
Project Contacts
Project Details
Summary
0
Error:
Please fill in the following required fields before continuing:
Primary Contact
First Name
*
Last Name
*
Company
*
Country
*
Address Search
Address 1
*
Address 2
City
*
State
*
Zip
*
Zip Code Format is 00000-0000 or 00000
Primary Phone
*
Phone should have 10 Numeric values
Ext
Secondary Phone
Phone should have 10 Numeric values
Ext
Email
*
Project Point of Contact
Send report to this contact
Send invoice to this contact
Put this name on the report
CC Emails to this Contact
Secondary Contact
Include a secondary contact
First Name
*
Last Name
*
Company
*
Country
Address Search
Address 1
Address 2
City
State
Zip
Zip Code Format is 00000-0000 or 00000
Primary Phone
*
Phone should have 10 Numeric values
Ext
Secondary Phone
Phone should have 10 Numeric values
Ext
Email
*
Project Point of Contact
Send report to this contact
Send invoice to this contact
Put this name on the report
CC Emails to this Contact
Error:
Please fill in the following required fields before continuing:
Claim Details
Claim Number
*
Date of Loss
*
Type of Location
*
Insured Information
First Name
Last Name
Company
Country
*
Address Search
Address 1
*
Address 2
City
*
State
*
Zip
*
Zip Code Format is 00000-0000 or 00000
Primary Phone
*
Phone should have 10 Numeric values
Ext
Secondary Phone
Phone should have 10 Numeric values
Ext
Email
Loss Location
Same location as the Insured address
Country
*
Address Search
Address 1
*
Address 2
City
*
State
*
Zip
*
Zip Code Format is 00000-0000 or 00000
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Project Information
This project is an emergency
How quickly do you request we be on the scene?
How quickly do you request the report to be delivered?
Scope of Work
*
Any Additional Information
Report Format Preference
Project Contacts
Primary Contact
Name
Company
Address
Primary Phone
Secondary Phone
Email
Project Point of Contact
Not the Project Point of Contact
Send report to this contact
Do not send report to this contact
CC Emails to this Contact
Do not CC Emails to this Contact
Send invoice to this contact
Do not send invoice to this contact
Put this name on the report
Do not put this name on the report
Secondary Contact
Name
Company
Address
Primary Phone
Secondary Phone
Email
Project Point of Contact
Not the Project Point of Contact
Send report to this contact
Do not send report to this contact
CC Emails to this Contact
Do not CC Emails to this Contact
Send invoice to this contact
Do not send invoice to this contact
Put this name on the report
Do not put this name on the report
Project Details
Claim Details
Claim Number
Date of Loss
Type of Assignment
Insured Information
Name
Company
Address
Primary Phone
Secondary Phone
Email
Loss Location
Same location as the Insured address
Address
Inspection Contact Information
Name
Relationship to Property
Relation To Insured
Primary Phone
Secondary Phone
Email
Project Information
This project is an emergency
This project is not an emergency
How quickly do you request we be on the scene?
How quickly do you request the report to be delivered?
Scope of Work
Any Additional Information
Report Format Preferences
/customerportal/cpProjectFileUpload
/customerportal/cpNewProject