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Call Us:
305-395-5891
Email Us:
intake@flo.law
Home
About Us
Meet Our Team
Contact us
Hire Us
Hire Us
Hire Us
Home
Hire Us
Name Insured(s) *
Property Address *
Peril
Hurricane
Storm
Water/Plumbing Loss
Fire
Collapse
Hail
Flood
Personal Injury
Other
Insured Email *
Insured Contact Number *
Insured Contact Number 2
Claim Number
Insurance Company
Policy Number
Supporting Documentation
How did you hear about us?
Please provide details about the loss :
Preferred Language
English
Spanish
Other
Do you need FLO to report the Claim?
Yes
No
Contact Authorization & Certification *
I, the above-named insured, hereby certify that I am submitting this form of my own free will and I authorize Franca & Gonzalez Law Offices, FLO, to contact me about my insurance claim. I hereby expressly consent to receive automated communications including calls, texts, emails, and prerecorded messages.
