Real Estate Property Claim Form - The Oberman Companies

"Guiding Your Claims Process"

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At the Oberman Companies, we know that filing a claim is an unexpected event that can be stressful. Our role is to help guide you through the claims process. To get started, we need some details to expedite the service.

NOTE: Report claims or notice of potential claims as soon as possible. Please DO NOT wait to report a claim because you do not have ALL the loss details. Additional information can be provided to us at a later date.

Contact Info

Your Name(Required)

First Last

How Can We Reach You?

Please Provide Your Contact Information

Your Email Address(Required)

Preferred Contact Method(Required)

Your Phone(Required)

Name of Building (Co-op/Condo Association Name)(Required)

Managing Agent Company Name(Required)

Secondary Contact Name (e.g. Superintendent/Resident Manager, if applicable)

Secondary Phone

Secondary Email

If You Have An Assistant Who Will Be Involved In This Claim, Please Provide Name And Contact Information

First Last

Assistant's Phone Number

Assistant's Email

Incident Report

Please Fill Out All Requested Details

Date of Loss(Required)

MM slash DD slash YYYY

Time of Loss (if known)

Hours

Minutes

AM/PM

Type of Loss (e.g. fire, water damage, pipe burst)(Required)

Location of Loss(Required)

Were the Authorities Called (e.g. Fire, Police, etc.)(Required)

Yes

Name of Precinct, Town/City/State That Responded(Required)

Loss Description(Required)

For Record Purposes Only At This Time?(Required)

Yes

Unsure At The Moment

Documentation

Upload Photos and Videos If Possible

Drop files here or

Max. file size: 98 MB.

(Note: You must have one or both before making both temporary emergency repairs and/or permanent repairs.) *If you are transmitting photos/video in a file sharing software, please make sure Oberman and/or the carrier can open the software and meets size requirements. If you are saving video, please make a backup copy.

Additional Resources

Did You Contact a Restoration/Mitigation/Clean-Up Company(Required)

Yes

Please Provide the Name of That Company And Project Manager's Information(Required)

Any Possibility of Mold or Other Environmental Services Needed(Required)

Yes

Is This a Condo or Co-op?(Required)

Yes

If yes, notify the unit owners to report to their own carriers under their homeowner’s policies.

Additional Details

Check To Make Sure the Mortgagee Is Correct on Your Policy

Every insurance policy has a “Duties in the Event of Loss or Damage” section. For simplicity’s sake, we have included a generic one from Insurance Services Office (I.S.O.) Your carrier’s duties section may vary slightly.

1. Duties In the Event Of Loss Or Damage

a. You must see that the following are done in the event of loss or damage to Covered Property:

(1) Notify the police if a law may have been broken.

(2) Give us prompt notice of the loss or damage. Include a description of the property involved.

(3) As soon as possible, give us a description of how, when and where the loss or damage occurred.

(4) Take all reasonable steps to protect the Covered Property from further damage and keep a record of your expenses necessary to protect the Covered Property, for consideration in the settlement of the claim. This will not increase the Limit of Insurance. However, we will not pay for any subsequent loss or damage resulting from a cause of loss that is not a Covered Cause of Loss. Also, if feasible, set the damaged property aside and in the best possible order for examination.

(5) At our request, give us complete inventories of the damaged and undamaged property. Include quantities, costs, values and amount of loss claimed.

(6) As often as may be reasonably required, permit us to inspect the property proving the loss or damage and examine your books and records.

Also, permit us to take samples of damaged and undamaged property for inspection, testing and analysis, and permit us to make copies from your books and records.

(7) Send us a signed, sworn proof of loss containing the information we request to investigate the claim. You must do this within 60 days after our request. We will supply you with the necessary forms.

(8) Cooperate with us in the investigation or settlement of the claim.

b. We may examine any insured under oath, while not in the presence of any other insured and at such times as may be reasonably required, about any matter relating to this insurance or the claim, including an insured’s books and records. In the event of an examination, an insured’s answers must be signed.