The forms in this system are outdated, and a new system is in place - if you do not already have them, please refer to your manager in regards to the new updated links

EMS Form

Insured's Information
First Name
Last Name


Phone Number

Secondary Phone Number

Project Type  

Claim Number
Severity Level

Wind 1 -    No information available, insured has not seen the house, but knows there is damage. Needs FEMA letter only.  Loss of Use only. Food spoilage only.

Wind 2 -    Minimal damage to detached structures, contents damage only, some damage to roof.

Wind 3 -    Damage to roof, missing shingles/tiles/metal with some interior water damage, but dwelling is still livable.

Wind 4 -    Heavy structural damage to roof, framing, with heavy interior water damage, collapsed walls, ceilings. Dwelling is not livable or dwelling is a total loss.

Additional Details

Claim Type