The following are suggested contracts and documents that will assist you through
the insurance claims process. Please scan the QR codes with your smart phone
to download these forms. If you do not have the QR code application, you can
W W W . C O application forI free I . C Oapp store on your smart phone. You can
download the H E N B A T T S T at the M
also download the forms directly from our website at:
www.insurance-dispute-attorney.com
ASSIGNMENT OF INSURANCE BENEFITS:
This contract is called an assignment of benefits. The language in this contract
will assign the client/insured’s policy benefits to your company name. This will
allow you to stand in the “shoes of the insured” and deal directly with the insurance carrier, receive payment in your name and file suit to enforce this policy.
CONTRACT FOR SERVICES AND AGREEMENT:
This contract is a sample document your company can use to have the client/
insured sign before each job is performed. The document contains an assignment of benefits, direction to pay, and work authorization all in one page that
authorizes you to perform work on behalf of the insured.
CERTIFICATE OF COMPLETION AND SATISFACTION:
This document will allow the client/insured to express they are satisfied with
the job performed by your company and understand that the job has been completed.
DEMAND LETTER:
This document is a letter your company can send to the insurance carrier to demand payment within 10 days after your initial invoice has been partially paid
or denied.
CONSENT TO DISCUSS CLAIM:
This document will allow you to speak to the client/insured’s mortgage company
regarding the policy benefits pertaining to the mold, remediation, and rebuild
services.