Twin City Public Adjusting | Claim Information Tell Us About Your Claim We work directly for the policyholder to help navigate the insurance claim process and pursue the settlement they deserve. Contact Information First Name: Last Name: Phone Number: Email Address: About You I am a: Policyholder Contractor Property Manager Other Company Name: Policyholder First Name: Policyholder Last Name: Property Information Property/Loss Location Address: City: State: ZIP Code: Insurance Information Insurance Company: Claim Information Has a claim already been filed? Yes No Date of Loss: Has the insurance approved anything? Yes No Damage Information What type of damage occurred? Hail Wind Storm Fire Water Other Please describe: Description of Damage: Description of Claim Status: * Required fields must be completed before submitting. Submit Claim Information
