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PROPERTY & CASUALTY
PROPERTY CLAIM FORM
Policy Holder's Name:
Date of Loss:
Time of Loss:
Description of accident:
Is insured able to take pictures:
Has insured taken measures to prevent additional damage (ex: tarp roof):
(If theft or fire) Were the police or fire departments contacted? Who's the responding department:
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WHERE TO FIND US
Ocoee Insurance Services
200 Harle Avenue NW
Cleveland, TN 37311
Phone: +1 423-476-5204
Fax: +1 423-476-9958
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