Landlord Protection Claim 2025

Landlord Protection Claim

File your Claim Below

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Step 1 of 5

Before completing this form, please note:

Claims for Malicious Damage and/or Theft each have a $1,500 deductible applicable to the claim.
It is unlawful to knowingly provide false, incomplete or misleading facts, information, or statements to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and/or civil damages.

Contact Information & Policy Info

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Claim Status

Property Management Company Name*

Policy Number*

Property Manager to Contact*

First Last

Phone*

Email*

Property Manager Address*

Street Address Address Line 2 City State ZIP Code

Landlord Name*

First Last

Tenant Details

Tenant Name*

First Last

Insured Property Address*

Street Address Address Line 2 City State ZIP Code

Tenant Phone Number*

Tenant Email*

Tenant Forwarding Address

Street Address Address Line 2 City State ZIP Code

What Month was this location added to SureVestor Reports?*

Monthly Rent Amount*

Security Deposit Held*

Dollar Amount of the Security Deposit*

Allowable releasing items the deposit was used for*

Receipts & Documents*

Drop files here or

Max. file size: 50 MB.

Official Tenant Ledger*

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Max. file size: 50 MB.

Official Lease Agreement*

Drop files here or

Max. file size: 50 MB.

Claim Details

Loss of Rent*

Tenant Skip (8 Weeks Maximum)

When did least term start?*

When did least term end?*

Lease type*

Date tenant left*

How much notice was the tenant required to give?*

Did the tenant give notice?*

Date tenant gave notice*

When was the last payment made?*

Has the property been re-leased?*

When was the property re-leased?*

Copy of the New Lease Agreement*

Drop files here or

Max. file size: 50 MB.

Eviction Order Granted/Writ of Possession (12 Weeks Maximum)

Was an eviction filed?*

When did the tenant go into delinquency?*

When was the eviction filed?*

Was an eviction order granted?*

Was it a Writ of Possession?*

Upload Documents for Proof of Eviction and Eviction Order Granted Evidence*

Include receipts/documents for eviction filing fees, defense costs, sheriff/marshal/constable fees and other applicable documents

Drop files here or

Max. file size: 50 MB.

Tenant Death - Sole Tenancy (12 Weeks Maximum)

When is the date the tenant passed?*

Was this the only tenant in this location?*

Upload Relevant Documents Related to Tenant Death*

Drop files here or

Max. file size: 50 MB.

Murder or Suicide (25 Weeks Maximum)

When is the date the tenant passed?*

Was this the only tenant in this location?*

Upload Documents Related to Murder or Suicide*

Include policy report for murder or death certificate from examiner determining suicide, cleaning fees, other applicable documents

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Max. file size: 50 MB.

Malicious Damage (8 Weeks Maximum)

What is Malicious Damage?

Pictures of Malicious Damage being claimed*

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Max. file size: 50 MB.

Receipt of the cost to repair malicious damage*

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Max. file size: 50 MB.

Two Itemized quotes to repair/replace damaged items*

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Max. file size: 50 MB.

Inspection reports Move in / Move out*

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Max. file size: 50 MB.

Is this the type of damage that could be reported to the police?*

Was a police report filed?*

Is the property untenantable because of the malicious damage?*

Has the property been repaired?*

What is the timeline for repairs?*

Victims of Violence (4 Weeks Maximum)

Upload Documents Related to Victims of Violence*

Include signed document from a court official or qualified third party as defined under the Right of Victims of Violence to Terminate Lease statute

Drop files here or

Max. file size: 50 MB.

Additional Benefits

Malicious Damage

Pictures of Malicious Damage being claimed*

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Max. file size: 50 MB.

Receipt of the cost to repair malicious damage*

Drop files here or

Max. file size: 50 MB.

Two Itemized quotes to repair/replace damaged items*

Drop files here or

Max. file size: 50 MB.

Inspection reports Move in / Move out*

Drop files here or

Max. file size: 50 MB.

Could this type of damage that be reported to the police?*

Was a police report filed?*

Is the property untenantable because of the malicious damage?*

Has this property been repaired?*

What is the timeline for repairs?*

Theft or Damage Due to Theft

Pictures of damage or item(s) stolen*

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Max. file size: 50 MB.

Receipts of the cost to repair/replace damaged item(s)*

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Max. file size: 50 MB.

Two Itemized quotes to repair/replace damaged items*

Drop files here or

Max. file size: 50 MB.

Was a policy report filed?*

Loss Due to use of Digital Lock Boxes

Was a digital lock boxed used?*

What is the brand of the digital lockbox?*

What is being claimed?*

Service or Companion Animal Damage

Pictures of damage*

Drop files here or

Max. file size: 50 MB.

Receipts of the cost to repair/replace damaged item(s)*

Drop files here or

Max. file size: 50 MB.

Two Itemized quotes to repair/replace damaged items*

Drop files here or

Max. file size: 50 MB.

Re-keying of Locks

Did the tenant not return keys?*

Invoice for re-keying*

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Max. file size: 50 MB.

Additional Documents, Pictures, and/or Receipts

Drop files here or

Max. file size: 50 MB.

File your Claim Below

File your Claim Below

Contact Information & Policy Info

Tenant Details

Claim Details

Tenant Skip (8 Weeks Maximum)

Eviction Order Granted/Writ of Possession (12 Weeks Maximum)

Tenant Death - Sole Tenancy (12 Weeks Maximum)

Murder or Suicide (25 Weeks Maximum)

Malicious Damage (8 Weeks Maximum)

Victims of Violence (4 Weeks Maximum)

Coverage Extensions

Additional Benefits

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