Today’s Date
-
Month
-
Day
Year
Date
Project Manager
Assisting you with insurance payments!
Mitigation Assistance!
Repair Service Provider
At Helpwithmypolicy.com, we are public adjusters dedicated to assisting your customers in obtaining reasonable and fair compensation for the exceptional work provided by your restoration company. We prioritize transparency, honesty, and fairness in all our interactions with insured individuals, insurance companies, and contractors. To ensure the best outcome for your customer-related claim, please complete the attached form with detailed information. This will greatly support our efforts to secure the deserved payment for your invaluable service. We appreciate your cooperation and look forward to achieving a favorable resolution together. Thank you for choosing Helpwithmypolicy.com.
MY NAME: simplified
PROJECT: loss type
Please Select
1. Water damage restoration
2. Fire damage restoration
3. Mold remediation
4. Smoke damage restoration
5. Carpet cleaning and restoration
6. Upholstery cleaning and restoration
7. Hardwood floor restoration
8. Tile and grout cleaning and restoration
9. Air duct cleaning and restoration
10. Furniture restoration
11. Electronics restoration
12. Document and paper restoration
13. Odor removal and deodorization
14. Structural repairs and reconstruction
15. Painting and refinishing
16. Roof repairs and restoration
17. Window and door repairs
18. Plumbing repairs and restoration
19. Electrical repairs and restoration
20. HVAC system cleaning and restoration
When it comes to us handling the claims process, HELPWITHMYPOLICY.com is the trusted public adjuster firm that contractors and repair service providers rely on. Our dedicated team is committed to you, as a service provider, by maximizing your compensation, protecting your interests, and ensuring fair payment for your exceptional craftsmanship in your part of the restoration. With our expertise and support, you can focus on delivering your company’s outstanding service while we navigate the complexities of the claims process on your customer’s behalf. We thank you for choosing us to assist in helping your customer and together we will achieve remarkable success!
1. ✔️ Yes, we have extensive experience in repairing the specific type of damage our customer has, and we have successfully completed similar repairs in the past.
2. ✔️ Absolutely, we can provide references from previous clients who had similar repairs done, so you can hear about their positive experiences with our services.
3. ✔️ We have all the necessary licenses and insurance required to perform the repairs, ensuring that we meet all legal and safety requirements.
4. ✔️ We are familiar with working alongside public adjusters and will follow their guidance throughout the restoration process to ensure a smooth collaboration.
5. ✔️ We can provide a detailed estimate and timeline for completing the repairs, giving our customer a clear understanding of the scope of work and the expected timeframe.
6. ✔️ We use high-quality materials that meet or exceed industry standards, ensuring that the repairs are durable and long-lasting.
7. ✔️ We offer warranties or guarantees for our repair work, providing our customer with added peace of mind and assurance in the quality of our services.
8. ✔️ We are able to coordinate with your public adjuster to ensure a smooth claims process, providing any necessary documentation or information to support the insurance claim.
9. ✔️ We can handle any additional repairs or issues that may arise during the repair process, adapting our services to address unforeseen circumstances.
10. ✔️ We have a dedicated team of skilled workers who will be working on the repairs, ensuring that our customer's restoration is carried out by experienced professionals.
11. ✔️ We will provide regular updates and communication regarding the progress of the repairs, keeping our customer informed every step of the way.
12. ✔️ We are willing to work within the budget set by the insurance claim settlement, providing cost-effective solutions without compromising on the quality of our work.
13. ✔️ We can provide a written contract that outlines the scope of work and associated costs, ensuring transparency and clarity in our agreement.
14. ✔️ We have certifications or memberships in professional restoration organizations, demonstrating our commitment to maintaining industry standards and best practices.
15. ✔️ We are familiar with local building codes and regulations that may affect the repairs, ensuring that all work is carried out in compliance with the applicable requirements.
16. ✔️ We will handle obtaining any necessary permits for the repair work, taking care of the administrative aspects to ensure a hassle-free process for our customer.
17. ✔️ We can provide proof of proper disposal of any debris or materials from the repairs, demonstrating our commitment to environmentally responsible practices.
18. ✔️ We are available to address any concerns or issues that may arise after the repairs are completed, providing ongoing support and assistance to our customer.
19. ✔️ We offer post-repair maintenance or inspection services, ensuring that the restored areas continue to function properly and remain in excellent condition.
20. ✔️ We are willing to provide any additional documentation or information required by your public adjuster during the claims process, facilitating a smooth and efficient resolution.
Back
Next
Repair Service Provider
Contractor: To ensure your payment, we kindly request your company and contact details. Please provide us with your credentials.
Your Company Name:
Your Business Card:
*
Yes
No
Service Provider Business Card:
*
Business Card
Drag and drop files here
Choose a file
front and back
Cancel
of
Restoration Service Provider’s Phone:
Project Supervisor:
First Name
Last Name
Type of Contractor?
Contractor’s State License:
Back
Next
The Insured Details
Date/Suspected Date of Loss
*
-
Month
-
Day
Year
Date
My customer’s name is:
First Name
Last Name
Address of the loss is:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Customer Email
example@example.com
Customer Phone Number
Please enter a valid phone number.
Insurance Policy:
*
Yes, I have a copy of the customer’s policy
No copy
Insurance Policy:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
EXTERIOR: affected areas
1. Outdoor structures (e.g., sheds, garages, fences)
2. Roofing and gutters
3. Siding and exterior walls
4. Driveways and walkways
5. Landscaping and gardens
6. Swimming pools and decks
7. Outdoor furniture and fixtures
8. Vehicles and automobiles
9. Boats and watercraft
10. Outdoor recreational areas (e.g., playgrounds, sports fields)
11. Exterior lighting and electrical systems
12. Exterior plumbing systems (e.g., sprinklers, irrigation)
13. Outdoor storage areas (e.g., sheds, barns)
14. Exterior signage and advertising displays
15. Exterior painting and refinishing
No external damages were observed
Other
EXTERIOR: components to be replaced or repaired
*
1. Roofing materials (asphalt shingles, metal roofing, clay tiles, slate tiles, wood shakes)
2. Gutters and downspouts (aluminum, copper, vinyl)
3. Siding or exterior cladding (vinyl siding, fiber cement siding, wood siding, stucco, brick, stone veneer)
4. Windows and doors (double-hung windows, casement windows, sliding windows, French doors, sliding patio doors, entry doors)
5. Insulation (fiberglass batts, spray foam insulation, cellulose insulation, rigid foam insulation)
6. Subflooring (plywood, oriented strand board (OSB))
7. Decking or patio materials (pressure-treated wood, composite decking, concrete, natural stone)
8. Fencing or gates (wood fencing, vinyl fencing, wrought iron fencing, chain-link fencing)
9. Garage doors (steel doors, wood doors, aluminum doors, fiberglass doors)
10. Exterior lighting fixtures (wall sconces, landscape lights, floodlights)
11. Exterior trim and molding (cornice, frieze boards, window trim)
12. Exterior paint and finishes (exterior paint, stains, sealants)
13. Outdoor living features (outdoor kitchens, fire pits, pergolas, gazebos)
14. Landscaping materials (sod, plants, trees, mulch, gravel)
15. Outdoor structures (sheds, playhouses, greenhouses)
16. Outdoor furniture (patio sets, lounge chairs, umbrellas)
17. Exterior stairs and railings (wood stairs, metal stairs, balusters, handrails)
18. Driveway and walkway materials (concrete, asphalt, pavers, gravel)
19. Exterior water features (fountains, ponds, waterfalls)
20. Exterior siding accessories (shutters, vents, trim boards)
21. Exterior window and door accessories (shutters, awnings, window boxes)
22. Mailboxes and address plaques
23. Exterior security systems (surveillance cameras, motion sensors, alarms)
24. Exterior sound systems (outdoor speakers, wireless audio systems)
25. Outdoor storage solutions (sheds, storage boxes, bike racks)
EXTERIOR: images of affected area, damaged components, and insurance losses
Upload up to 20 Images
Drag and drop files here
Choose a file
Please pick the worst observed images
Cancel
of
EXTERIOR: additional images
Upload more
Drag and drop files here
Choose a file
Cancel
of
Back
Next
INTERIOR: affected areas
1. Living room and common areas
2. Bedrooms and closets
3. Kitchen and dining area
4. Bathroom(s)
5. Basement or cellar
6. Attic or loft
7. Hallways and staircases
8. Flooring (e.g., carpet, hardwood, tile)
9. Walls and ceilings
10. Windows and doors
11. Electrical systems and wiring
12. Plumbing systems and fixtures
13. HVAC (Heating, Ventilation, and Air Conditioning) systems
14. Appliances (e.g., refrigerator, dishwasher, washing machine)
15. Cabinets and countertops
16. Lighting fixtures and switches
17. Fireplaces and chimneys
18. Insulation and ventilation
19. Home office or study area
20. Garage or storage areas
No interior damages were observed.
Other
INTERIOR: components to be replaced or repaired
*
1. Drywall or plasterboard (gypsum board, moisture-resistant drywall, fire-resistant drywall, soundproof drywall)
2. Flooring (carpet, hardwood flooring, laminate flooring, vinyl flooring, tile flooring, natural stone flooring)
3. Ceiling materials (acoustic ceiling tiles, tin ceiling tiles, wood ceiling planks, gypsum board ceiling)
4. Electrical wiring and components (copper wiring, electrical panels, outlets, switches, light fixtures)
5. Plumbing pipes and fixtures (copper pipes, PEX pipes, PVC pipes, sinks, faucets, showers, toilets)
6. HVAC system (furnace, air conditioner, heat pump, ductwork, vents)
7. Water heaters (tankless water heaters, storage tank water heaters)
8. Kitchen cabinets and countertops (wood cabinets, laminate cabinets, granite countertops, quartz countertops)
9. Bathroom fixtures (toilet, sink, bathtub, shower, vanity)
10. Appliances (refrigerator, stove, dishwasher, microwave, washer, dryer)
11. Lighting fixtures (ceiling lights, chandeliers, pendant lights, recessed lights, wall sconces)
12. Fireplaces and chimneys (traditional wood-burning fireplace, gas fireplace, electric fireplace, chimney liner)
13. Insulation materials (fiberglass insulation, spray foam insulation, cellulose insulation)
14. Roofing materials (asphalt shingles, metal roofing, clay tiles, slate tiles)
15. Windows (vinyl windows, aluminum windows, wood windows, energy-efficient windows)
16. Doors (entry doors, interior doors, sliding doors, French doors)
17. Paint and finishes (interior paint, exterior paint, stains, varnishes)
18. Trim and molding (baseboards, crown molding, door and window casing)
19. Stairs and railings (wood stairs, metal stairs, balusters, handrails)
20. Garage doors and openers (overhead garage doors, sectional doors, remote-controlled openers)
21. Landscaping materials (sod, plants, trees, mulch, gravel)
22. Outdoor structures (decks, pergolas, gazebos, sheds, fences)
23. Security systems (burglar alarms, surveillance cameras, motion sensors)
24. Home automation systems (smart thermostats, smart lighting, voice-controlled assistants)
25. Solar panels and renewable energy systems
26. Home theater systems (projectors, surround sound speakers, media consoles)
27. Home office furniture and equipment (desks, chairs, computer monitors, printers)
28. Storage solutions (shelving units, cabinets, closet organizers)
29. Bathroom accessories (towel racks, soap dispensers, shower curtains)
30. Outdoor lighting (landscape lights, pathway lights, solar-powered lights)
INTERIOR: images of affected area, damaged components, and insurance losses
Upload up to 20 Images
Drag and drop files here
Choose a file
Please pick the worst observed images
Cancel
of
INTERIOR: additional images
Upload more
Drag and drop files here
Choose a file
Cancel
of
Back
Next
HOME: age
Please Select
1-5 years
5-10 years
10-15 years
15-20 years
20-25 years
30-40 years
40-50 years
Over 50 years
HOME: trades involved
Please Select
1. We will be using a licensed service provider for the services of an electrician, who will be responsible for electrical installations, repairs, and maintenance.
2. We will be using a licensed service provider for the services of a plumber, who will handle plumbing installations, repairs, and maintenance.
3. We will be using a licensed service provider for the services of an HVAC technician, who will deal with heating, ventilation, and air conditioning systems.
4. We will be using a licensed service provider for the services of a roofing contractor, who specializes in roof installation, repair, and replacement.
5. We will be using a licensed service provider for the services of a flooring contractor, who will install and repair various types of flooring materials.
6. We will be using a licensed service provider for the services of a painting contractor, who will handle the painting and finishing of interior and exterior surfaces.
7. We will be using a licensed service provider for the services of a carpenter, who will construct and repair structures made of wood or other materials.
8. We will be using a licensed service provider for the services of a mason, who works with bricks, stones, and concrete for construction and repair.
9. We will be using a licensed service provider for the services of a drywall contractor, who will install and repair drywall for walls and ceilings.
10. We will be using a licensed service provider for the services of a tile installer, who specializes in the installation of ceramic, porcelain, or other types of tiles.
Do you have software generated measurements of the restoration area in a PDF file?
*
Yes
No
Xactimate, DASH, iRepair file
*
Upload
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Supporting Documentation
important for your payment
CHECKLIST: paperwork needed to get to Helpwithmypolicy.com for my customer’s losses:
1. Detailed Property Inspection Report: A thorough report documenting the condition of the property before and after the damage occurred.
2. Repair or Replacement Estimate: An estimate that outlines the cost of repairs or replacements needed to restore the property to its pre-damage condition.
3. Material Specifications: Detailed specifications of the materials required for the restoration work, including their quality, quantity, and cost.
4. Code Compliance Requirements: Information on the local building codes and regulations that need to be followed during the restoration process.
5. Permit Requirements: Documentation of any permits or licenses needed to perform the restoration work legally.
6. Proof of Previous Maintenance: Evidence of regular maintenance and upkeep of the property to demonstrate that the damage was not a result of negligence.
7. Warranty Information: Details of any warranties or guarantees for the materials or workmanship involved in the restoration.
8. Timeline for Completion: A clear timeline outlining the expected duration of the restoration project.
9. Proof of Loss Form: A form provided by the insurance company that documents the details of the loss or damage.
10. Contractor Credentials: Information about the qualifications, licenses, certifications, and experience of the restoration contractor.
11. Testimonials or References: Positive feedback or references from previous clients to showcase the contractor's track record of successful restoration projects.
12. Additional Supporting Documentation: Any additional documents that may strengthen the insurance claim, such as photographs, invoices, or correspondence related to the restoration work.
We understand that you are currently working on repairing the damages at their property, and we would like to collaborate with you to maximize the insurance claim payout for this project. To ensure that you receive the best compensation for your hard work, we kindly request the following information and documentation for your payment.
*
I understand that the requests made by Helpwithmypolicy.com are important in order to get this claim paid correctly and as fast as possible.
I do not have enough information, but would like to help this client.
Other
Back
Next
Helping you get paid!
Detailed Property Inspection Report: Conduct a thorough inspection of the affected property and provide a comprehensive report. Include detailed descriptions and photographs of all damaged areas, highlighting any visible signs of damage, such as cracks, fractures, water damage, or structural issues.
*
I have provided all the information you have requested above for the detailed roof inspection report for a favorable outcome.
I will need to gather more information and I will have to get back to you.
Other
Detailed Roof Inspection Report
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Repair or Replacement Estimate: Prepare a comprehensive estimate outlining the scope of work required for the restoration or replacement of the affected property. Break down costs for materials, labor, and any additional services or equipment needed. A detailed and itemized estimate will ensure that the insurance company understands the work involved and associated expenses.
*
I have provided all the information you have requested above for the detailed roof inspection report for a favorable outcome.
I will need to gather more information and I will have to get back to you.
Other
Repair or Replacement Estimate
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Material Specifications: Provide detailed information about the type, quality, and cost of materials to be used for the restoration or replacement. Specify the brand, model, and grade of materials, as well as any additional components or finishes required. This transparency establishes the value and quality of the materials, maximizing the claim payout.
*
I have provided all the information you have requested above for the detailed roof inspection report for a favorable outcome.
I will need to gather more information and I will have to get back to you.
Other
Material Specifications
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Code Compliance Requirements: Familiarize yourself with and adhere to all local building codes and regulations applicable to the restoration or replacement process. Provide documentation or references demonstrating your knowledge and compliance with these requirements. This proactive approach prevents potential issues that could hinder the insurance claim.
*
I have provided all the information you have requested above for the detailed roof inspection report for a favorable outcome.
I will need to gather more information and I will have to get back to you.
Other
Code Compliance Requirements
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Permits Requirements: Please provide any permits or other building regulations that are necessary for the project.
*
I have provided all the information you have requested above for the detailed roof inspection report for a favorable outcome.
I will need to gather more information and I will have to get back to you.
Other
Permits Requirements
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Proof of Previous Maintenance: Demonstrate proper maintenance of the property before the damage occurred. Provide documentation such as inspection records, maintenance receipts, or service contracts to validate regular upkeep and care. This establishes that the damage was not due to neglect or lack of maintenance, strengthening the insurance claim.
*
I have provided all the information you have requested above for the detailed roof inspection report for a favorable outcome.
I will need to gather more information and I will have to get back to you.
Other
Proof of Previous Maintenance
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Warranty Information: If any existing warranties cover the property, provide details about the coverage terms and conditions. Include information about the duration, coverage, and any limitations or exclusions. This information establishes the value and protection associated with the property, supporting the claim for coverage.
*
I have provided all the information you have requested above for the detailed roof inspection report for a favorable outcome.
I will need to gather more information and I will have to get back to you.
Other
Warranty Information
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Timeline for Completion: Provide a proposed timeline for completing the necessary restoration or replacement work. Consider factors like weather conditions, material availability, and workload. A clear and realistic timeline demonstrates professionalism and efficiency, expediting the claim process and maximizing the payout.
*
I have provided all the information you have requested above for the detailed roof inspection report for a favorable outcome.
I will need to gather more information and I will have to get back to you.
Other
Timeline for Completion
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Any Other Contractor Supporting Documentation: If you have any other relevant documents that can further support your customer’s claim, such as other tests, other results, other invoices, other receipts, or other contracts related to the roof repair or replacement, please provide them. These documents will help establish the costs incurred and authenticate the legitimacy of the work performed, ultimately maximizing the claim payout.
*
I have provided all the information you have requested above for the detailed roof inspection report for a favorable outcome.
I will need to gather more information and I will have to get back to you.
Other
Other Contractor Supporting Documentation
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
10. Unseen or Hidden Damages: Please make us aware of any unseen or hidden damages that may not be immediately visible. These could include issues such as water infiltration, structural damage, or any other hidden issues that may impact the scope of work and the insurance claim.
*
I have provided all the information you have requested above for the detailed roof inspection report for a favorable outcome.
I will need to gather more information and I will have to get back to you.
Other
Unseen or Hidden Damages
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
11. Previous Reports, Repairs, or Restoration: If you are aware of any previous reports, repairs, or restoration work done on the property, please provide us with the relevant information. This will help us understand the history of the property and any potential implications for the current project.
*
I have provided all the information you have requested above for the detailed roof inspection report for a favorable outcome.
I will need to gather more information and I will have to get back to you.
Other
Previous Roofing Reports, Repairs, or Restoration
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Submit
Next
We appreciate your patience. We will be reaching out to you shortly.
*
Thank you for providing all the necessary information truthfully and honestly. We will ensure that your claim is handled appropriately based on the details you have provided.
Submit
Should be Empty: