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Total Contentz
Pack Out Estimate Request
Company name
*
Address
*
Contact Name
*
Phone
*
CLAIM INFO
Insured 's Name(s)
*
Multi-line address
Country/Region
Address
City
Zip / Postal code
Email
Phone
Is this a program/ TPA job?
*
Yes
No
Insurance Carrier
*
Claim Number
Multi choice
*
Fire
Water
Flood
Tornado
Hurricane
Mold
Wildfire
Vandalism
Other
Date of Loss
*
Month
Day
Year
PACKOUT
Number of Techs
Days on Site
STORAGE
Number of months
Single choice
On-site containers
Qty.
Size
Single choice
Off-site climate-controlled
Single choice
SF
Qty.
V
Vaults
Qty.
TOTAL LOSS
DUMPSTERS
Qty.
TOTAL LOSS
Will you provide a total loss listing?
Single choice
Yes
Single choice
No
ON-SITE TEXTILES COLLECTION
Single choice
In-house
Single choice
Vendor
MOVING TRUCK
Number of Days
PACK BACK
Single choice
N/A
Drop & Run
Full Pack Back
Will you rehang window coverings?
Yes
No
Will you setup bed(s) with sheets and bedding?
Yes
No
Subcontractors or Specalists Involved?
Yes
No
Include invoices from outside service(s)?
Tax % to Charge
Submit links to: Matterport, DocuSketch, Company Cam, Contents Track, Encirlce, Etc.
Attach Vendor Receipts if Applicable
Upload File
NOTES: Please list any challenges of the project to be included in opening statement
Submit
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