Claim Form
First Name
*
Last Name
*
Company Name
*
Current CRES Policy Number
Email Address
*
Best Contact Phone Number
*
Address of the property involved in the claim
What type of documents have you received? (i.e. lawsuit, mediation demand, a demand for money, real estate board complaint, small claims complaint, etc.)
When did you receive this paperwork?
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YYYY
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Was this the first time you had heard of the issue?
If not, when did you first hear of it and how? (Letter? Email? Phone call?)
What type of transaction was this? (i.e. property management, residential sale, commercial sale, etc.)
When is the date of loss? (i.e. escrow close date, date of injury, tenant move out date, etc.)
What was your/your company’s role in the transaction? (i.e. property manager, listing agent, selling agent, etc.)
Please provide a brief description of the issue: