Home Page Home Page Newsletter Contact Us
  • Home
  • Get a Quote
    • Automobile
    • Bonds
    • Business & Commercial
    • Dental
    • Earthquake
    • Farm
    • Flood
    • Health
    • Homeowners
    • Life
    • Motorcycle
    • Recreational Vehicle
    • Renters
    • Trucking
    • Watercraft & Boat
  • Customer Service
    • Automobile
    • Business & Commercial
    • Earthquake
    • Flood
    • Homeowners
    • Motorcycle
    • Recreational Vehicle
    • Renters
    • Watercraft & Boat
  • Make a Payment
  • Request Auto ID
  • Request a Certificate
  • Resources
    • Refer a Friend
    • Important Links
    • Free Reports
    • Insurance Glossary
    • Frequently Asked Questions
  • About Us
    • About Us
    • Location Map
    • Employee Directory
    • Partners Page
    • Privacy Policy
  • Contact
    • Contact Us
    • Join Our Newsletter
Homeowners Insurance Auto Health Life & Health Insurance Business Insurance
Get A Quote
Home > Flood > Flood Property Loss Claim Form
Secured by SSL

Flood Property Loss Claim Form


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information
First Name *
Last Name *
Street *
City *
State *
ZIP / Postal Code *
Primary Phone Number *
Alternate Phone Number
E-Mail Address *
Policy Number *
Loss Overview
Loss Type *
What date did the incident take place? *
/ /
How severe was the damage? *
Describe the Loss *
Submission Validation
Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
Secured by SSL
Insurance Websites Designed and Hosted by Insurance Website Builder
Dave Johnson Insurance, Inc. 1502 Sumner Ave | Aberdeen, WA 98520 | Phone: 360-533-1741 | Toll Free: 866-533-1741 | Fax: 360-533-6656
Powered by Insurance Website Builder
Home Page About Us Our Services Get A Quote Contact Us