Please click on one of the following links to download the PDF file of the contract.
If you do not have Adobe Acrobat Reader click here to download it free.
Print the downloaded contract along with the separate contract to address recovery of additional living expenses or fair rental value (if applicable)
Fill all empty spaces, including the claim number and policy number
Sign and initial the documents
Sign and date the Disclosure Statement (Required)
Scan and email the documents to email@example.com or fax the documents to (954) 570-4043