Claim Submission Form
Please fill out the requested details below, attach the required documentation, and send your claim submission to claims@secondnature.com. Submitting supporting documents with your claim will speed up the process. If applicable, please attach the following to this form: pictures, repair estimates, invoices, proof of loss, police reports and fire reports. A member of the Second Nature claims department will contact you in 1 to 2 business days.
Personal Details/Contact Information:
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Property Details:
Property Management Company Name: All 3 Realty
Your address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Loss Details:
Date of Loss:
Loss Description (describe how loss occurred):
General description of damages ( what was damaged, extend of damage, etc)
File Upload for Supporting Documents. (Submitting supporting documents with your claim will speed up the process. If applicable, please attach the following to this form: pictures, repair estimates, invoices, proof of loss, police reports and fire reports. )
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Resident Signature:
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Should be Empty: