Letter of Representation Wizard

Get Started with the Wizard

Click the button below to get started with the Wizard.

Step #1

Enter the full name of first named insured.

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Step #2

Does your policy include any additional named insureds? Question icon

Step #3

Enter the full name of any additional named insured.
Click the "+ Add another named insured" link to add multiple names.

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+ Add another named insured

Step #4

Select which of the following people will be available to sign:

Step #5

Enter the contact info for each available person:

Step #6

Who would you like to be the point of contact?

Step #7

Enter the phone number for the selected point of contact:

Step #8

Enter the client's address where the loss occurred.

Step #9

Enter the client's mailing address.

This address is the same as the client's loss address.

Step #10

Enter the estimated dollar amount suffered.


$

Step #11

Do you know the particular ClaimPros' public adjuster you would like to work your claim?

Step #12

Select the public adjuster's information below.

Step #1

Enter the full name of first named insured.

Question icon

Step #2

Does your policy include any additional named insureds? Question icon

Step #3

Enter the full name of any additional named insured.
Click the "+ Add another named insured" link to add multiple names.

Question icon

+ Add another named insured

Step #4

Select which of the following people will be available to sign:

Step #5

Enter the contact info for each available person:

Step #6

Who would you like to be the point of contact?

Step #7

Enter the phone number for the selected point of contact:

Step #8

Enter the client's address where the loss occurred.

Step #9

Enter the client's mailing address.

This address is the same as the client's loss address.

Step #10

Is this a declared disaster by the governor of Florida within one year of the anniversary of the event?

Step #11

What percentage do you want to charge the client for this non-declared disaster?

%

Step #12

Are you adding a public adjuster apprentice to this claim?

Step #13

Select the public adjuster apprentice's information below.

Step #1

Enter the full name of first named insured.

Question icon

Step #2

Does your policy include any additional named insureds? Question icon

Step #3

Enter the full name of any additional named insured.
Click the "+ Add another named insured" link to add multiple names.

Question icon

+ Add another named insured

Step #4

Select which of the following people will be available to sign:

Step #5

Enter the contact info for each available person:

Step #6

Who would you like to be the point of contact?

Step #7

Enter the phone number for the selected point of contact:

Step #8

Enter the client's address where the loss occurred.

Step #9

Enter the client's mailing address.

This address is the same as the client's loss address.

Step #10

Is this a declared disaster by the governor of Florida within one year of the anniversary of the event?

Step #11

What percentage do you want to charge the client for this non-declared disaster?

%

Step #12

Select the sponsoring public adjuster's name:

Step #

Do you have a copy of the declarations page of your current insurance policy? Question icon

Step #

Select the insurance company below:

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Step #

Enter the policy number below:

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Step #

Have you filed a claim already?

Step #

Enter the claim number below (optional):

Step #

What is the actual date of the claim?

Step #

What was the cause of the loss?

Step #

What are the effective and end dates of the policy?

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Ready to Retain ClaimPros

You are now ready to create your agreement. Click the "Create Agreement" button below to generate a PDF version of this agreement.

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Completed

Click the button below to download the PDF agreement document.