Submit Electronic Loss

Please complete the submission form with the loss details currently available to you, and attach any documentation needing review. Or, if information about the loss is still trickling in, we can help you collect those details after submission.

If the options here do not allow for an accurate description of your assignment, please feel free to give us a call at 877-832-4567 or send an email to confirmation@techloss.com.

Once you submit your assignment, a TechLoss engineer will contact you within the hour to discuss your project needs in more detail.

Section 1 - YOUR INFORMATION


Section 2 - LOSS INFORMATION


Section 3 - LOSS TYPE: (Please check all that apply)

LightningPower SurgeFireSmokeWaterTheftImpactWindOTR/TransportationTBD/UnknownVehicle AccidentNatural DisasterVirus/HackerData Deletion/Hard Drive CrashOther




ACV: Actual Cash ValueQuick Claim Processing (QCP) ProgramCausationDamage VerificationCoordinate RepairsPre-Loss PlanningLightning VerificationDataExpert WitnessRepairabilityIn-House TestingRestorationInvoice ReviewSalvageEquipment RecertificationLKQ VerificationOnsite InspectionVirus RemovalProject ManagementSoftware RecoveryRCV: Replacement Cash ValueSubrogationSurge Type Lightning vs. UtilityOther

Section 5 - Predominant Equipment (Please check all that apply)

ComputerServersHard DrivesCommunicationsMedicalIntercom / Alarms / SecurityPrintingManufacturingHVAC SystemsElevators / EscalatorsHome Theater SystemsResidentialPoint of Sale / Cash RegistersBroadcast (TV & Radio)Electrical Distribution SystemsPolice & Fire Radio Emergency SystemsRestaurant / HospitalityOther


Section 6 - LOSS DESCRIPTION


Section 7 - UPLOAD DOCUMENT(S) TOTAL FILE SIZE CANNOT EXCEED 100MB