Edenville Flood - Pitt Law Team Client Claim

Thank you for contacting our firm regarding the Edenville Dam Failure. Please provide us with as much of the following information as you can. If yours is a business claim and the home questions are irrelevant, please put N/A into the spaces provided

Name of Homeowners*

Please provide the names of all individuals on the title of the home

Address of Damaged Property*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

If the Damaged Property is NOT your primary residence, please provide your home address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Primary Email Address

example@example.com

Secondary Email Address

example@example.com

Cell Phone Number*

Area CodePhone Number

Secondary Cell Phone Number

Area CodePhone Number

Home Phone Number

Area CodePhone Number

Names and Ages of Individuals Who Used and/or Resided in the Damaged Property Prior to May 19, 2020 *

Occupation of Homeowners*

How is Property Titled, i.e. Joint, Tenants in Common, etc.*

Damaged Property

County Where Property is Located*

Description of Property Location, i.e. on Sanford Lake, on Wiggins Lake, on Tittabawesee River, on Canal *

Year Purchased*

Purchase Price*

Market Price (if appraisal has been done in last 5 years)*

Sale Price (if the property was up for sale at the time or immediately prior to the May 19, 2020 incident)

Please describe the type of structure, i.e. cabin, home, cottage with talkout, etc.*

Please describe the nature of construction, i.e. brick, cinderblock, wood frame with vinyl siding, hunting cabin, modular home, hunting cabin with addition and walkout space, etc. *

Total square feet of the residence - Please break out finished basements, i.e. walk out areas from total square footage*

Please describe water access, i.e. 100 foot Sanford Lake frontage, Tittawabesee River frontage, 20 foot canal frontage, access to dock on lake, etc. *

Size and description of property upon which the residence sits, i.e. square, flat, 100% usable property with 100 feet of lake footage, pie-shaped, quarter acre with limited lake access, etc. *

Temporary structures on the property in addition to the residence, i.e. garage, tool shed, gazebo, dock, etc.*

Damaged Property (Business)

Name and type of business

Was the property owned by the business?

Do you have insurance coverage for your business? If so, please provide the following

Name of the insurance company

Name and contact information of your insurance contact

Whether or not you have made a claim - if so, please also provide the claim number (and send a copy of your claim form to contact@edenvilleflood.com)

Description of Damage

Please provide the following information. Where estimated, please indicate same.

Where did the water level come to on your property prior to the flood?*

How high was the water level on your property at the time of the incident?*

How deep was the water in your property at the time of the incident, i.e., completely flooded basement or walkout, 3 feet deep on first floor, first floor under water, reached second floor, etc.*

What is the current water level on your property?*

Have you had to pay for temporary or alternative housing as a result of flood damage? If so, how much have you had to pay? *

Please describe the condition of your structure following the flood, i.e., structure still standing, all contents and inside of structure destroyed, structure damaged beyond repair, inside of structure needs to be completely gutted and rebuilt, etc.*

Do you have an inventory either rough or exact of the damaged property? If so, please describe below (and provide to contact@edenvilleflood.com)*

Have you obtained any repair estimates (If so, please send a copy of those estimates to contact@edenvilleflood.com)? If you do not have those estimates in writing, please describe the proposed repairs and estimated costs*

Were any automobiles/vehicles damaged as a result of the flood? Please include the year, make and model below if so*

If your vehicle was damaged...

Name of the insurance company

Name and contact information of your insurance contact

Whether or not you have made a claim - if so, please also provide the claim number (and send a copy of your claim form to contact@edenvilleflood.com)

Were any boats or watercrafts damaged as a result of the flood? Please include the year, make and model below if so

If your boat and/or watercraft was damaged...

Name of the insurance company

Name and contact information of your insurance contact

Whether or not you have made a claim - if so, please also provide the claim number (and send a copy of your claim form to contact@edenvilleflood.com)

Pictures/Video

Do you have pictures or videos of your home both before and after the flood? If so, please describe the volume of pictures and type of pictures or videos you have. Please provide us with up to 10 pictures and/or a video showing us the destruction to date (You should be documenting your repair and cleanout efforts daily, with both photographs and/or video) - e-mail to contact@edenvilleflood.com

Insurance

Was your property insured? If so, please provide the following

Name of Insurance Company*

Name and Contact Details of Your Insurance Contact*

Whether You Have Made a Claim. If so, please provide the claim number and send a copy of your claim form*

Please email a copy of your insurance policy, together with any communications you have received to date from the insurance company, to contact@edenvilleflood.com

Any Additional Questions/Comments/Facts/Concerns About Your Claim?*

Referral

Please describe how you learned about this particular lawsuit, i.e., social media, word of mouth, referral by and attorney or friend, if so please give the name of the attorney or friend, newspapers, television or other

Reminder: Send all relevant materials for your claim by email to Contact@EdenvilleFlood.com

Client Claim Questionnaire