Start Your Claim

Required

Texas Department of Insurance form FIN535 | 0824

Claim information

Type of loss*Required

Property type*Required

What do you need help with?*Required

Loss address (street)*Required

City*Required

State*Required

ZIP code*Required

Date of loss*Required

Approximate is fine

Insurance company

Policy number

Claim number

Insurance company phone

Insurance company email

Notes about the damage

Printed in full on Addendum A. Page 1 keeps the property address as the description of loss.

Insured and contact information

Insured name*Required

Phone number*Required

Email address*Required

Text me at this mobile number. I agree to receive text messages from D1 Claims about my claim, including a secure link to upload documents from my phone. Consent is not a condition of signing this contract. Standard message and data rates may apply. Reply STOP to opt out.Mailing address is the same as the loss address

Is there a secondary insured or contact?

Only a co-insured is added to “The Insured(s)” on the contract.

Referred by