Submit a Claim

Completing this form will help us better understand the key details of your claim issue, allowing us to conduct a more thorough and accurate free property claim review. It will also ensure that any follow-up phone conversation or meeting is as productive as possible. If you’d prefer to speak directly, feel free to call us at 833-PANTHER / 833-726-8437

If you’re looking to ask a general question, share a comment, or discuss a broad insurance claim issue, please use our general contact form instead.

Simply fill out the information below, and we’ll get back to you as quickly as possible. Thank you for reaching out to Panther Public Adjusting, your trusted public insurance adjusters. We’re here to help!

First Name

Last Name

Phone Number

Alternate Phone Number

May we contact you by phone?

Yes No

Street Address

City

State

Zip Code

How did you hear about us?

Type of Property

Name of Property or Business (if applicable)

When did the damage occur?

Who is the Insurance Carrier?

Have they denied your claim?

Yes No

Has any part of the claim been paid?

Yes No

Type of Loss:

Severity of Damage:

Estimated Damage Amount: (If Applicable)

Please provide a brief description of the damage and what caused the damage and any questions or comments.

If you would like to upload any photos of the damage or documents please do so here. Simply click the Choose File Button, find the file you want to attach and then click the Upload button to complete the process for each file you want to upload. File types allowed: zip, jpg, jpeg, gif, png, doc, docx, pdf, ppt, pptx, xls, xlsx, pps, ppsx

Upload max. 5 files & max. file size 1mb

Submit a Claim

Contact info

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Submit a Claim

Contact info

License

Get the latest insurance happenings delivered to your email a few times a month.

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