INITIATE ESTIMATE

To initiaite your estimate and repair process during regular business hours, 8:00AM - 5:30PM Monday thru Friday, please complete the following information that applies to your situation and your local contractor or mitigator will contact you within one (1) hour. After business hours or in an emergency situation, CALL toll-free 877-700-9009.

CHOICE CERTIFIED CONTRACTORS, LLC

Date
Job Type Residential ---Commercial
CUSTOMER INFORMATION
Business Name
Contact Name
Customer Name
Address
City, State, Zip
Home Phone
Work Phone
Cell Phone
Other Phone
Type of Loss
If Other, Describe
Comments
REFERRAL INFORMATION
Referred By
Insurance Company
Agency/Claim Ctr.
Phone
Policy Number
Adjuster
Phone
Claim No.