Use our Response Center Form to

Start the IMACC Contractor Selection Process

Let IMACC do the heavy lifting by finding you the right contractor. We'll back up our choice with an industry-leading worry-free guarantee on all reconstruction.

Enter your information below to jumpstart the IMACC Claims Process. The information is submitted automatically and immediately to the IMACC 24-Hour Response Center. Bold items are required.

Need help? Call 1-877-GET-IMACC (438-4622)

Property Information
Owner First Name
Owner Last Name
Street Address
City
State
Zip Code
Phone Number
( -    
Alternate Phone Number
( -
Email

Insurance Company Information
Insurance Company
Other Insurance Company
Adjuster or Agent Name
Adjuster or Agent Phone
( -  Exten.      
Adjuster or Agent Email
Claim Number
Policy Number
Deductible Amount

Damage Information
Date Damage Occurred
Type of Damage

<- Not valid with Fire
<- Not valid with Fire <- Not valid with Water

<- Not valid with Fire
<- Not valid with Fire
<- Not valid with Fire
<- Not valid with Fire
<- Not valid with Fire
<- A Reconstruction Contractor will be sent to assess and determine what other services will be needed
<- A Reconstruction Contractor will be sent to assess and determine what other services will be needed
<- A Reconstruction Contractor will be sent to assess and determine what other services will be needed
<- A Reconstruction Contractor will be sent to assess and determine what other services will be needed
<- A Reconstruction Contractor will be sent to assess and determine what other services will be needed
<- A Reconstruction Contractor will be sent to assess and determine what other services will be needed
Brief Description of
Damage & Possible
Origin (if known)



 
Please confirm the date damage occured. Re-enter the date if necessary.

Is dry-out mitigation still needed?
If no, uncheck water damage.