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Start a Claim Review

Submit the basics now - a licensed adjuster reviews everything and gets back to you, typically within one business day. Nothing is signed at this stage.

Quick lead capture. About 4 minutes. Submitting this form does not create representation; it lets a licensed adjuster review your situation. After review, if we move forward, you'll be sent a contract to sign electronically.

Want something faster? Schedule a free consultation - about 60 seconds, no documents needed.

Your Contact Information

The named insured on the policy

First Name*

Last Name*

Mobile Phone*

We'll text you the link to track your claim

Email*

Is there a co-insured (spouse, business partner, etc.) on the policy?

Mailing Address

Where the carrier sends your statements

Street Address*

Apt / Suite / Unit

City*

State*

ZIP*

Loss Information

Where and what happened

Is the damaged property at the same address as your mailing address?

Date of Loss*

The day the damage occurred

Cause of Loss*

Property Type*

Briefly describe what happened*

2-4 sentences is fine. You'll be able to add more detail later.

Insurer & Policy

Your insurance carrier and policy details

Insurance Carrier*

Policy Number*

Found on your declarations page

Policy Effective Date

When the current policy term began (on your dec page)

Policy Expiration Date

When the current policy term ends

Has a claim already been filed with the carrier?

Has the carrier already paid you anything on this loss?

Important: this changes how our fee is calculated

Mortgage / Lienholder

Required because they're typically a payee on settlement checks

Is there a mortgage or lien on the property?

Policy Documents

At minimum we need your declarations page; the full policy is even better

Full PolicyPreferred

The complete policy document, usually 30 to 80 pages

Click or drag files here

Max 25MB per file

Declarations PageMinimum

The 1-2 page summary showing limits, deductibles, named insureds, and policy number

Click or drag files here

Max 25MB per file

Damage Photos / Videos

Optional but speeds up our review. Include both wide shots and close-ups.

Click or drag files here

Max 25MB per file

How Did You Find Us?

How did you hear about us? *

Authorization

I authorize Dependable Claims Specialists to contact me by phone or email about my claim and to request a copy of my policy from my carrier for review purposes. I understand this is not a representation agreement and that no public adjuster will represent me until a separate written contract is signed. Privacy Policy. *Required

Yes, text me my claim updates. I agree to receive transactional SMS from Dependable Claims Specialists (DCS PIA) - status updates, appointment reminders, and document signature requests at the number provided. Message frequency varies. Msg & data rates may apply. Reply STOP to opt out, HELP for help. See our Privacy Policy and SMS Terms. (Optional - not a condition of service.)

By submitting, you agree to our Privacy Policy. DCS is licensed in Texas (TX PIA #2237777, Agency #3134924) and Florida. We represent insureds only.