File a claim

Letter of Representation.

Complete this intake and we'll prepare the Letter of Representation for signature by every party on the policy. Most answers are on your policy's declarations page — or one call to your carrier away. Referring reps can fill this out with the homeowner.

01 — Homeowner

First name

Last name

Phone

Initials (e.g. SAB)

Is there a second person on the insurance policy?

NoYes

02 — Policy

Insurance company

Policy number

How long with this carrier?

Have you ever filed a claim for the roof at this property?

NoYes

Claim number (leave blank if not yet filed)

Which agreement type applies to this claim?

EmergencyNon-emergencySupplemental

03 — The loss

Date of loss

Cause of loss

Description of the loss (e.g. "roof damage with leaks inside the home")

04 — Property address

Street address

Address line 2

City

State

ZIP code

05 — Contractor information

Contractors can complete this form with the homeowner. Enter the homeowner's contact details above and your own details here. Homeowners can leave this section blank.

Contractor name

Contractor company

Contractor phone

Contractor email

06 — Referral & documents

Which CMG adjuster are you working with?

Referring company & sales rep (if any)

Referring rep's email

The referring rep receives a copy of the signed Letter of Representation once all parties have signed.

Declarations page & any contractor contract (optional)

PDF, JPG, PNG, WEBP, HEIC or DOCX · up to 10 files · 25 MiB each

You can also email copies to Austin@CMGPropertySolutions.net.

07 — Homeowner consent

The homeowner must read and give this consent. Contractor contact details do not replace homeowner consent.

I consent to receive SMS and email communications from CMG Property Solutions at the phone number and email address I provided. Message frequency varies; message & data rates may apply. Reply STOP to unsubscribe, HELP for help. I can unsubscribe from email at any time.