Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the date on the provided line. This should reflect the date when you are completing the form.
3. Fill in the 'Insured' section with your full name as the insured party.
4. Continuing in the address field, input your complete address, including street, city, state, and ZIP code for identification.
5. Provide the loss site address in the designated area.
6. Select the type of loss by describing the incident in the 'Type of Loss' section.
7. In the section for 'Insurance Carrier', write the name of your insurance company, followed by the relevant claim number.
8. Review the authorization statements and indicate your consent by checking the appropriate boxes to grant ServiceMaster of the Eastern Sierra permission to proceed with cleaning and restoration.
9. If applicable, state your deductible amount in the specified field and acknowledge responsibility for any charges not covered by the insurance provider.
10. Initialize the disclaimer box after reading it to acknowledge your understanding of potential restoration limitations.
11. Fill out the estimated cost for services table by selecting appropriate services required and noting the corresponding prices as applicable.
12. Complete the contact person and phone number sections to ensure effective communication.
13. Input credit card information if applicable for the deposit and deductible payments.
14. Sign and date the authorization section at the bottom of the form to grant permission to begin work.
15. Once all sections are completed, save changes, and download or print the form for your records.

Complete your Mitigation Price Sheet & Work Authorization online now for efficient service!