Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access and open the form in your preferred editor.
2. In the Job Information section, fill in the date, time called in, date of loss, job number, contact details, relationship, job address, and site phone number accurately.
3. Complete the Insured Information section by entering the insured's name, billing address, home and work phone numbers, as well as motel information if applicable.
4. In the Insurance Information section, record the insurance company's name, policy number, agency details, and adjuster’s information, including their contact and address.
5. Provide Directions to Job by filling in the map page and coordinates as needed.
6. Answer the telephone questions regarding the situation, marking yes or no for each inquiry regarding standing water, electric power, and other relevant conditions.
7. In the ‘Areas Affected’ section, list the specific areas and type of flooring impacted, indicating with the corresponding letters.
8. Complete the General and Payment Information by noting the age and style of the structure, steps already taken, special concerns, and any prior inspections.
9. Fill in the Marketing Information, indicating where you located the contact number and how you learned about the company.
10. Lastly, mention the emergency service response details, including technician names, arrival times, and who notified them.
11. Once you have completed all sections, save your changes, then download, print or share the form as necessary.

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