Pronto Cleaners Ltd.

SUBMIT A CLAIM

To submit a claim to Pronto Cleaners, please use this form to fill in any information you have related to the claim. The fields marked with an * are required. Once you have completed the form, please click on the “Submit” button. We will respond to all on-line claims upon receipt.


Company Information
Insurance Company/Contractor Name*  
Adjuster First Name*  
Adjuster Last Name*
Phone Number*  Example: 416-555-1212
Extension
Fax Number  Example: 416-555-1212
Email* . 
Claim/Policy Number*
Home Owner Information
Owner/Contact First Name*  
Owner/Contact Last Name*
Street Address*  
Unit/Apt. #  
City*  
Postal Code* Example: M5K 1K6
Residence Phone Number*  Example: 416-555-1212
Work Phone Number
Alt. Phone Number
Notes
 
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