Appointments 1 — Artigem Streamline

Submit a claim

Please fill in all the required fields and upload the Streamline template excel with the description of the claim items.

Adjuster's Name

First Name

Last Name

Adjuster's Email

Adjuster's Phone #

(###)

###

####

Insurance Carrier or Agency Name

Claim Information

Claim # or Reference #

Claim Date

YYYY

Policyholder's Name

First Name

Last Name

State

Contents List

FileField; Multiple=false; MaxSize=10000;addText=Click_to_upload_excel;

Policy Limits

Special Limits

Min $ item to price

(Anything below the $ listed here will be accepted at the item's stated value, depreciation table will still be applied)

Desired claim summary format

Excel

PDF

Both Excel and PDF

Note for Artigem