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

Approximate time

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 — 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.

06 — 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.