CONTACT PLS

Contact Info

Phone

(608) 291-0424

1 (954) 301-0270 (fax)

Mailing Address

Property Loss Specialist
978 Park Street Suite C
Oregon, WI 53575

To schedule an appointment with a PLS adjuster,

Submit a Claim

Producer Information

Agency Phone

Agency Contact

Policy Information Insurance Company

Effective Date

Building Limit

Business Interruption Limit

Deductible

Form Numbers

Policy Number

Expiration Date

Contents Limit

Other Limit

Mortgagee

Remarks

Insured Information First Name (required)

Last Name

Address

City

State

Zip

Insured Contact

Insured Phone

Your Email (required)

Loss Information Loss Location

Type of Loss

Loss Description

Date of Loss

Police/Fire Department Report

Company Information Claim Number

Contact Phone

Office Location (city or state)

Company Contact

Contact Email

Assignment Instructions/Comments Comments