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Get Renovar Claim Assignment Form 2014

Y, State, ZIP Best Number: Alternative Numbers: Alternative Contacts: (Relative, PA, GC) Type of Damage: Water, Fire, : Work Request: Photo Evaluation On-site Evaluation Have you informed insured we will be calling: Yes If onsite, please pick reason... No, please explain who you are Description of Damaged Items & Special Instructions/Comments: Furniture Cabinets Other Please send photos of damaged items with the form to: assignments nationalrestore.com This form also available to sub.

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