United States Claims Advisors, LLC

Information Request

Thank you for your interest in United States Claims Advisors. We work hard on your behalf to obtain a fair price for your auto claim, to appraise the appropriate value of your vehicle and to ensure that you receive the proper return on your investment.

Please complete the following information and we will contact you within 24 hours. Please complete all fields marked with a *. In the Details and Comments section below, please give a description of your individual concern.

Privacy Policy

We will not disclose your e-mail address or personal information to any other party without your permission.

Name

Address

City, State, Zip

Email

Preferred Phone Number

Alternate Phone Number

Best time to reach

Fax Number

Year of vehicle

Make

Model

Amount of Damage Less than $1000
$1000 to $5000
More than $5000

Are the repairs completed? Yes
No

Name of At-fault Insurance Company

Is this your insurance company? Yes
No

Do you have full coverage through your own insurance company? Yes
No

Do you have a copy of the repair estimate? (If yes, please fax it to 503-656-1249) Yes
No

Details and Comments

If you have a copy of your repair estimate, please fax it to us at (503) 656-1249

United States Claims Advisors, LLC

Corporate Headquarters
13728 NW Glendoveer Dr.
Portland, Oregon 97231

Toll Free: (877) 655-1661
Telephone: (503) 655-1661
Fax: (503) 656-1249
Email: request@unitedstatesclaimsadvisors.com