Hurricane Michael Insurance Claims

Claims

Submit your claim below and a UTA member will be in touch with you right away.

Claim # Required

Insurance Carrier Required

Referred By Required

Please fill out this Work Authorization Form before continuing Required

Customer name Required

Address

Address 1

Address 2

City

State/Province

Country

Postal Code

County Required

Phone Number Required

Alt Phone Number

Email Required

Quantity of trees on home

Hole in roof? Required

Notes / Description