Flood Addendum

Client Area >> Bradford Starnes >> Flood Addendum

Do you need to file a Flood Addendum?

The following information is provided as an addendum to the Dorsten Claims LLC contract and to accompany their letter of representation.

PUBLIC ADJUSTER: BRADFORD STARNES
LICENSE# W162733

Loss Address *

Address Line 1

Address Line 2

City

State

Zip Code

Policy #

Claim #

Policy Holder's Full Name *

Policy Holder's Phone Number *

Policy Holder's Email *

Policy Holder's Current Address *

Address Line 1

Address Line 2

City

State

Zip Code

Policy Holder's Birth Date *

Policy Holder's Place of Birth *

Name of third-party representative

IMPORTANT NOTE: If there is more than one person appearing on the policy each person must complete and execute this form. It is a legal necessity. Having each person fill out the contract does not change the fee. It remains the same but the insurance companies must have a signature from all the people on the Policy. Please call if you have any questions.

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