FAIR RENTAL EVALUATION REQUEST Please complete the form below and a Temporary Housing Expert will contact you immediately. Make sure to let us know the best method to reach you. Thank you for choosing Relocation Consultants.
INSURANCE ADJUSTER INFORMATION
Contact Name
Company
Address
City
State
Zip Code
Best Method of Contact (you may choose more than one method)
Pager Number
Fax Number
Cell Number
Email Address
Claim Information
Claim Number
Type of Loss
Length of Stay
Date of Loss
Value of Home
Homeowner Information
Number of Bedrooms
Number of Bathrooms
Fenced in yard Yes No
School District
Number of Adults
Number of Children
Pets Yes No
Description (how many, type, size, etc)
Damaged Residence Information
Notes