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Property Loss Notice
Property Loss Notice

Contact Information
Your Full Name:
(as listed on policy now)
Your Email Address:
Daytime Telephone Number:
Description of Loss
Time & Date of Loss:
 Time AM PM
Date
Location:


Description of Loss:
Police or Fire Department:
Notified?
 Yes No
If Yes, Please Specify:

Is Property Habitable?:
 Yes No
If No, Where Are You Staying:
or Planning to Stay?
(Please include Address &
Telephone #'s you can be reached at):
Mortgagee or Bank Information

Please Note: Submitting this form via the website does not constitute a "formal" claim. Please contact us or your insurance company to notify of a loss.
Quick Quote Request 
Feddersen Insurance Agency, Inc.
Mailing Address: 905 Joliet Street, #335, Dyer, IN 46311
For Appointments: 5615 W 95th St., Oak Lawn, IL 60453

Office: (708) 623-1600
Fax: (708) 298-5988
 

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