Insurance Claim Request For Water, Fire, Mold or Storm Damage | Nampa, ID

1315 W. Orchard Ave

Nampa, Idaho 83651

208-466-7594

Fax: 208-461-9505

Insurance Claim Inspection

This is your FIRST STEP in getting your home and life back to full restoration. Before any information or scheduling this form must be filled out. After this request has been submitted, a Ness Restoration representative will be in touch.

Is this an emergency? (standing water, active leak, etc.)

Yes No

Name

Address

Phone Number

Has the claim been filed yet?

Yes No

Who is your insurance company?

What is the reason for claim??

Who is your adjuster and their contact information?

How will Ness Restoration access to the effected areas?

Is the home occupied?

Yes No

Please upload any documents which would be helpful for Inspection:

How did you hear about Ness Restoration?