Appraisal Dispute Form

Thank you for visiting Insurance Appraisal Services. This form is for policyholders or their representatives (public adjusters, attorneys, contractors, etc.). Please complete all fields that apply to your request below, so we can best assist you. It is especially important that you provide your email address and phone number with area code as some complex questions are better answered by phone conversation.

Contact Num: Area Code: Phone:
Comments and
Additional Questions:
I Would Like:
(Check all that apply)

A FREE no obligation consultation.
Someone to call me, I have questions.
A reply email, answering my questions above.

Best Time To Call:
I am the [ - - - ] on this file:
Choose the one that
applies to you.
Policyholder (person who pays the insurance premium)
Public Adjuster for Policyholder
Attorney for Policyholder
Contractor for Policyholder
Type of damages:
Choose all that applies to your claim.
  Homeowners / Dwelling or Fire Policy
Home/Condo/Townhouse Contents
Other Structures ALE
Business Policy
Building Business Personal Property
Other Structures Business Interruption
How did you hear about
our website?