Appraisal Retainer and Demand Your InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State Zip Code Phone*Email* Claim InformationContractor Name First Last Contractor PhoneContractor Email Public Adjuster Name First Last Public Adjuster PhonePublic Adjuster Email Select Your Appraiser*David LinderKevin BakerAndy MerkleShare Via EmailWhomever is selected will receive an email with the information provided online. Insurance Company*Claim Number*Date of Loss* Date Format: MM slash DD slash YYYY Loss Type*HailWindFireWaterBackup of Sewer and Water Property Type*ResidentialCommercialEstimated Cost of Repairs*0-99k99-250k250k-500K500k-1,000,0001,000,000+Personal PropertyYesNoConsent* I agree to the terms and conditions.Appraiser Retainer Fee Agreement Twin City Public Adjusting, LLC (TCPA), or their representative is hereby hired to assist as an independent Appraiser for the undersigned herein for the fee; Fee is due at time of naming a member of "TCPA" as your Appraiser. Please have your team present and acting as your expert(s). Your team will need to supply the appraisal panel with documents including but not limited to the following items. 1) Professional testimony as per the repair strategy estimate provided by your team. 2) Provide a detailed estimate of repair for consideration of appraisal panel. 3) If Date of Loss is an issue, please provide the appraisal panel with documentation that supports your storm date. 4) Your team will mark all damage prior to the appraisal inspection. 5) Itel Reports and statements regarding product availability. 6) Commercial Building Appraisals will be billed out at $3000.00 per day. 7) Appraisals outside of Minnesota will be billed out at $225.00 per hour plus expenses. Expenses will be billed “at cost” which includes but not limited to fuel, food, lodging, airfare. Minimum retainer fee of $2000.00 8) A $500 cancellation fee will be applied to all appraisals that are canceled or settled prior to the date of appraisal. *All documentation must be provided to the appraisal panel 14 days prior to the onsite appraisal inspection date. The Umpire fees are a 50% burden of insured and a 50% burden of the insurer. DISCLAIMER OF GUARANTEE AND ESTIMATES. Nothing in this Agreement and nothing in Twin City Public Adjusting, LLC's statements to client will be construed as a promise or guarantee about the outcome of this matter.SignatureDate Date Format: MM slash DD slash YYYY I require a demand for appraisal Yes CAPTCHAA copy of this form will be sent to the email that you entered when filling it out. Please be sure to check that your spam filter does not block it by whitelisting 'email@example.com'. In the event that you do not get a copy, please request it be resent by emailing firstname.lastname@example.org.