Puckett, Scheetz & Hogan

Fill out the form below or call us at 1-800-849-0708
and a Puckett, Scheetz & Hogan agent will contact you shortly.

*Denotes Required Fields
Line of Business:
Type of Loss:	Other:
Peril Causing Loss:
*Named Insured: As it appears on the policy
Policy Number:
Name of Insurance Company:
Address:
City:
State:
Zip:
Contact Person Information
*Name:
*Home Phone:
Work Phone:
Email Address:
Address of Damaged Property
*Address:
*City:
*State:
*Zip:
*Description of Loss in Detailed Information:



* Please enter the form validation code in the field on the right:

Additional Information

Take whatever action is necessary to prevent further damage.
If immediate repairs must be made, take photos & keep the damaged items for the adjuster to inspect.
Depending on the extent of the storm, it could be at least a week before the insured is contacted by an adjuster. Individuals who cannot occupy their homes or businesses will receive priority claim assignments.