HANSSON BUILDER

13760 Nicollet Ave
Burnsville, MN 55337
ph: 651 203 7931 Fax: 1 866 472 0603

Insurance Claim Request

Filing your Claim today and It Costs Nothing! The Longer

you wait to file a claim, the further damages done to your

property and it becomes harder to get your Money covered.

FILE TODAY using this form. We will help you get

started to file a claim, documenting photos and paperwork,

negotiate with insurance companies and get your house

and property back to Order with little or NO cost of-of-

your-pocket. Call to speak with our contractor

representatives or fill out this form to file a Claim Now.

START FILLING OUT THE FORM BELOW TO FILE A NEW CLAIM:

*First Name:

*Last Name:

Email:

Service Date:

When You'd Like Us to Visit & Evaluate the Damages with no-cost obligation.

*Catastrophe Type

Hail Wind Water Damage (Burst Pipe, Leaking) Water Damage (Roof Leaks, Flood)

Provide as much information as you might know (date of events occurred, how long, livable conditions, etc.) so we can Help you Better

*Damaged Property to be Claimed

Roof Siding Others (Flooring, Mold, etc.)

Contact Instructions:

Provide Best Time to Contact you if Possible

*Address Line 1:

Address Line 2:

Please Provide Unit, Suite # if Any

*City:

*ZIP/Postal Code:

*Home Phone:

Mobile Phone:

Emergency Repairs/Covered Needed? (No Cost to You!)

Please contact me.

In Most Cases, Insurance Companies will Cover for Emergency Repairs to Protect Your property from Further Damages.

Submit Your Claims - We will contact you within 24 HRS!

13760 Nicollet Ave
Burnsville, MN 55337
ph: 651 203 7931 Fax: 1 866 472 0603