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Speak with an IMACC Response Professional Now:
(877) GET-IMACC

Online Response Center (ORC)

Welcome to the IMACC Online Response Center. So you may be best served, please enter as much information as possible about the property and damage. This information is submitted automatically and immediately to the IMACC 24-Hour Response Center.

Fields denoted by * are required.

Property Information
Property Owner First Name: *
Property Owner Last Name: *
Street Address of Property: *
City: *
State: *
Zip: *
Phone: (   *
Alternate Phone: (    
  Important: So we may serve you immediately, please be available at one of the telephone numbers above.  
Insurance Company Information (if available)
Insurance Company:
Other Insurance Company:
Adjuster or Agent Name:
Adjuster or Agent Phone: (    Extension
Adjuster or Agent Email: A confirmation email will be sent to this email address when contractor assignment is complete.
Claim Number:
Policy Number:
Deductible: $
Damage Information
Type of Damage
(check all that apply):



Date Damage Occured:  
Enter as MM/DD/YYYY
Briefly Describe the Damage and Possible Origin (if known):

 


Please click submit only once to avoid duplication of claims.

       
 
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