Get Claim Capture

Filling out the Claim Capture form is an essential step in documenting your claim for service. This guide provides clear instructions on how to complete each section of the form effectively and accurately.

Follow the steps to complete your Claim Capture form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the project manager's contact information. This includes the phone number and address of ServiceMaster DCS in Wheeling, IL.
3. Next, provide the crew names and the date of the claim. This ensures proper identification and referencing of the personnel involved.
4. In the caller section, enter the name of the person initiating the claim process. Include both last and first names, along with their title if applicable.
5. Complete the property address where the loss occurred. If the billing address differs, include that information as well.
6. If applicable, fill in the company name and other relevant identification details such as the response lead number and various phone contacts (home, work, fax, email, cell).
7. Indicate the date the loss occurred and provide details regarding the type of loss, such as water, fire, mold, or trauma. Additionally, specify the cause of the loss in the designated section.
8. If there are any special instructions regarding the items affected by the loss, document these under special instructions, noting any heavy or delicate items.
9. Fill in insurance details, including the insurance company name, deductible amount, policy number, and claim number. Note whether the amount is to be collected.
10. Provide the adjuster's contact information, including their name and office number, as well as their cell phone and email if available.
11. List the areas/rooms affected by the loss, and describe the types of flooring present in those areas.
12. Indicate whether there is visible structural damage. Ensure all required fields, marked in bold and italic, are completed before proceeding.
13. After filling out the form, users can save changes, download, print, or share the form as needed.

Complete your Claim Capture form online today to streamline your claim process.