Submit a Claim

To submit a claim and begin your restoration effort, please fill out the form below:

*Date of Loss:
*Insured Name:
Spouse Name:
*Address:
Apt/Suite:
*City:
*State:
*Zip Code:
*Home Phone:
Work Phone:
Cell Phone:
Fax:
*E-Mail:
*Insurance Carrier:
*Agent:
City:
*Phone:
Fax:
*Claim Number:
*Deductible in Dollars:
*Adjuster:
*Phone:
Fax:
Comments:
*Type of Loss:
*Interior Damage: FlooringDrywallCabinetsRoofingBoard-Up
*Exterior Damage: PaintingSidingTree RemovalTarpOther
Referred By:

Call Brookstone Restoration to talk with a Claims Specialist about your property loss. 1.800.699.1970

© 2015 Brookstone Restoration. All rights reserved.
Brookstone Restoration
4000 Farr Road
Bessemer, AL 35022
205.436.2680
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