Property Damage?                                                                                                                 Call your Advocate 
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BEGIN YOUR RECOVERY WITH HILLIS

             


REPORT A CLAIM

Please use the form below to report a claim. After submitting this information, you will be contacted by a member of our staff during the next business day. We will schedule a convenient appointment time for you to have one of our experienced adjusters visit your property to inspect the damages. If you require immediate assistance, please call 1-800-HILLIS1. We are available 24 hours a day, 7 days a week.

Complete and submit the form below:

Click here for references.
Full Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
What is your homeowner's insurance company?:
Have you contacted them?  YESNO
Description of loss and damages::
Approximately when did this occur?:
How did you hear about our company?:
Would you like our brochure mailed to anyone else you know?  YESNO
If yes, please list their name(s) and address(es) below:



          

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