ICM
Innovating Claims Management 



“We are greatly impressed to work with a team that uses the latest IICRC standards.”

Mark Reyer
Thunder Restoration
Insured Information            
  First Name*   Last Name*    
  Address 1*   Address 2    
  City *   State * Zip *  
  Primary Phone*   Secondary Phone    
Location of Loss            
  First Name*   Last Name*    
  Address 1*   Address 2    
  City *   State * Zip *  
  Primary Phone*   Secondary Phone    
Adjuster Information            
  Company Name*   Email*    
  Adjuster Name*   Last Name*    
  Primary Phone*   Secondary Phone    
Insurance Company Information            
  Address 1   Address 2    
  City   State Zip  
  Primary Phone   Webpage  
Claim Information            
  Deductible Amount*   Description of Loss*    
  Claim Number *    
  Policy Number *    
  Date Reported *    
  Date of Loss *    
  Should HSG collect Deductible? *    
  Sample Taken? *    
Restoration Contractor            
  Company Name   Contact Name    
  Phone            
  Branch Address   Address 2    
  City   State Zip  
    * Required Fields              
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