Forensic Engineering

Looking for forensic engineering services? Talk to one of our forensic engineers now:

(509) 547-2679

Insurance Claims

Insurance adjusters may submit a claim for investigation by filling out the form below.

We will contact you within one business day to set up an investigation according to your stated requests.

Insurance Claims Adjuster Form

* Required fields
**Not required for claims adjusters working from home

claimsadjusters

Claims Adjuster's Info

Insurance Company Name*

Claims Adjuster Name*

Claims Adjuster Office Phone*

Claims Adjuster Office Phone Ext

Claims Adjuster Cell Phone

Claims Adjuster Fax

Claims Adjuster Email*

Claims Adjuster Mailing Address**

Claims Adjuster Mailing Address2**

Claims Adjuster City**

Claims Adjuster State**

Claims Adjuster Zip Code**

Claims Adjuster File Number

Claim Number*

Insured's Info

Insured's Name(s)*

Insured's Primary Phone*

Insured's Secondary Phone

Date of Loss*

Estimated Loss ($)*

Address of Loss*

City of Loss*

State of Loss*

Zip Code of Loss

Type of Loss*

Services Requested*

Reporting Instructions to Harms Engineering*

Please provide verbal report

Please provide written report

Authorization To Proceed*

I authorize Harms Engineering to proceed with investigation

Please send Professional Services Agreement prior to starting work

File Attachment #1

File Attachment #2

File Attachment #3

Reporting instructions*

Please provide verbal report

Please provide full written report

File Attachment #4

Authorization to Proceed*

Please send agreement for review before proceeding

I authorize Harms Engineering to proceed with investigation

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