ALE housing request for adjusters or homeowners

If you’re a claims adjuster or policyholder booking ALE (Additional Living Expenses) housing, please use the form below to submit your request.

*indicates a required field.

Claim Information

Claim Number

Date of Loss

ALE Limits

Type of Policy

Type of Loss

Adjuster Information

First Name

Last Name

Company

Phone

City

State

Zip Code

Additional Adjuster Information

Additional Adjuster

First Name

Last Name

Company

Phone

Hotel Approval

Nights Approved

Estimated Check In Date

Long Term Housing Approval

Estimated Length

Policy Holder

First Name

Last Name

Phone

Address

City

State

Country

Zip Code

# of Adults

# of Children

Pets?

Smoke?

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