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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 

Mailing Address:
Noah W. Lewis & Associates
P.O. Box 871223,
New Orleans, LA 70187-1223
 
NEW COMBINED OFFICE LOCATION!!!
10001 Lake Forest Blvd., STE 702
New Orleans, LA 70127
Office:
(504) 754-1138
Fax: (504) 754-1105

©Noah W. Lewis & Associates, 2018


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