People and properties are our priorities. 

Fire & Smoke Remediation Service Intake Form

Please fill out the form below as completely as possible to help us serve you faster.

Due to the CZU Lightning Complex fires we have experienced an increase in service requests for smoke and fire damage remediation services. We are working around the clock to schedule on-site evaluations and render services. If you do not receive an email or phone call within 24 hours of submitting this form, please call us (408) 645-5958.

Name

Phone Number

Email

Insurance Provider

Claim Number

Brief Service Description

Address

City

Zip

Best Time to Call

Description of Loss/Damage

Fire & Smoke Damage Service Request Form

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