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Submit A Claim

Fill out the form below to submit a claim through our website. One of our representatives will contact you shortly.

"*" indicates required fields

Is this an Emergency?*

Yes - Send a team asap

No - I would like to speak to someone 1st

Is this a covered loss?*

Yes - I have already filed a claim

Yes - But I have not yet filed a claim

No - Self-Pay

Other

Insurance Information

If you do not have this information at this time you can skip this section.

INSURANCE COMPANY

POLICY NUMBER

CLAIM NUMBER

ADJUSTER'S NAME

ADJUSTER'S EMAIL

ADJUSTER'S PHONE

Client Information

Are you the property owner?*

Yes

No - I am an authorized agent

Other

Date of Loss*

Month

Day

Year

Full Name*

Name

Email*

Email

Phone*

Phone Number

Mobile

Mobile

Address*

Street Address City State ZIP Code

Tell us about the claim

File

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Emergency Services - Call DAY or NIGHT!

(646) 789-6264

Restoration Doctor of NYC
1350 Ave of the Americas FL2-1047
New York, NY 10019

(646) 789-6264
Info@restorationdoctorNYC.com

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Home
Services
Commercial / Large Loss
Service Areas
- Manhattan
Testimonials
Blog
About
Contact
- General Contact Information
- Submit A Claim