• • Kitchen Plumbing Slab Leak AC Leak Roof Leak Supply Line Burst Pipe/Plumbing Bathroom Leak Not sure, will describe on page 3 Sorry No Pool Leaks

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What best describes the issue with your leak?*

• New, just happened Long term It's been leaking for a few weeks

Please tell us about your leak and any other knowledge that may help us, water bills etc*

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Please include any and all prior history of leaks that may be relavent.

• Which areas were damaged for your by your leak?*
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  • Roof Exterior Interior Flooring Walls Contents Cabinetry Other

• Please provide your best estimate of total damages*
  • $0,000 - $10,000 $10,000 - $20,000 $25,000 - $50,000 $50,000 - $100,000 $100,000 or more No Damage

• What kind of location is this?*
  • Business/Commercial Residential/Homeowners Condominium/Association Industrial We do NOT handle pool leaks

• Have you filed an insurance claim with your insurance company yet? *
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• Has the insurance company paid anything yet? *
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• Are you ready to hire a leak claim expert to get you all the funds you are entitled to?*
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• Are you aware this insurance claim could be completely paid for by your insurance company including all of the damage?*
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• We have matching leak expert in your area that specializes in your request!

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