Policyholder First Name(Required)

Policyholder Last Name(Required)

Policyholder Phone Number(Required)

Policyholder Email(Required)

Policyholder Address(Required)

Street Address Address Line 2 City State ZIP Code

Insurance Company(Required)

For "Other" please manually enter the Insurance Company in the next field.

Policy Number

Other

Date of Loss

Contracting Company (if applicable)(Required)

Representative Name (if applicable)(Required)

First Last

Representative Email (if applicable)(Required)

Current Roof Material:(Required)

Predominant Pitch(Required)

Total Roof Size - All Structures(Required)

Approximate square count.

Approximate Roof Age(Required)

Number of Stories Above Ground(Required)

Description of Damage & Additional Notes/Instructions(Required)

Document Uploads

Drop files here or

Max. file size: 32 MB, Max. files: 8.

Please upload relevant claim information such as estimates, contracts, LORs, etc.

Additional Info for All Claims Pro?

Please share the additional information via email: [email protected].

To confirm that your form was successfully submitted:

1. Check Your Email: You should receive a confirmation email shortly after submitting your form. If it doesn’t appear in your inbox, please be sure to check your spam or junk folder.

2. Look for the Green Checkmark: After submitting, a green checkmark should display on the page to confirm your form has been received. If you do not see this green checkmark, your form did not go through.

Form Submission Confirmation

To confirm that your form was successfully submitted:

1. Check Your Email: You should receive a confirmation email shortly after submitting your form. If it doesn’t appear in your inbox, please be sure to check your spam or junk folder.

Contact Us

To schedule an appointment, please contact our office directly.

For more information about our services, or any other questions or comments, please fill out the form and we will respond as soon as possible.

540-252-6623

[email protected]

PO Box 345

Front Royal, VA 22630

No mobile information will be shared with third parties/affiliates for marketing or promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

Additional Info for All Claims Pro?

Form Submission Confirmation

Contact Us

540-252-6623

[email protected]

PO Box 345

No mobile information will be shared with third parties/affiliates for marketing or promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

How It Works

Step 1

Schedule A Consultation

Step 2

Review Your Claim

Step 3

Enjoy An Easy Claim Process Driven By Us

Why Choose Allclaims Pro?

Easy Process, Proven System

Get A Team Of Insurance Specialists

We Handle Your Claim So You Don't Have To

You Don't Need To Be An Insurance Expert