Register Claim

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Register Claim

Opening Times

Monday - Friday: 08:00 - 17:00

Our Location

South Florida

Customer Support

(754) 221-6945

Register or Re-Open a New Claim

Want Max-I-Mus Financial on your side? Secure our services by submitting information in the form below.

Remember that we are on your side and not the insurance company’s. There are no upfront cost to use our services and we only get paid if you get paid.

We look forward to partnering with you!

Name *

First

Last

Email *

Email

Confirm Email

Telephone *

Street Address *

City *

Zip Code *

Are you currently speaking with other adjusters?

Yes
No

Property Type *

Insurance Company *

Policy Number *

Did you already call the claim in? *

Yes
No

Deductible Amount

In a dollar amount, what is the amount of your deductible? If unsure, leave blank.

Type of Claim *

Fire
Water
Hurricane
Storm
Sinkhole
Mold
Roof
Theft
Business
Denied Claim
Other?

Single Line Text

If other, please explain.

Date of Loss *

MM/DD/YYYY

Cause of Loss

Please provide as much detail necessary to explain the cause of loss or damage to your property.

Describe the Damage *

Please provide as much detail as you can about the damage to your property.

Additional Comments

Anything else you'd like to add or ask?

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