(516) 792-0437 emergsvcco@aol.com

Submit An Inquiry

You can submit your inquiry using the form below. Please try to include as much information about the damage as possible in the message area.

Once we have received your inquiry form, we will be in touch to gather more detail. If you have any questions, please give us a call – 516-792-0437

Your Full Name (required)

Company Name (If Applicable)

Your Daytime Contact Number

Best Time to Call

Your Email (required)

Type of Inquiry
IndividualBusiness

Type of Damage
FireWaterWindStormTheftVandalismOther

On What Date Did the Event Occur?

What County is the Damaged Property Located In?

What Insurance Company is Your Policy With?

Has the Insurance Company Been Contacted?

Please Give a Brief Summary of What Has Occured

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