Central Inspections
A Division of Central Claims, LLC POST OFFICE BOX 7722 METAIRIE, LA 70010 3212 16TH STREET METAIRIE, LA 70002 Telephone – 504-834-3356Fax (504) 834-1965
Company Ordering Report:
Report Requested By:
Requestor’s Contact Phone:
Date Ordered:
Type of Report Requested (Photo Included in Each Report):
Photo Only
Garage Form
General Liability Form
Property Short Form
OL&T M&C
Property Long Form
Commercial Auto Form
Package (SMP) Form
Includes the Following:
Information to be Verified:
Robbery & Burglary
Annual Receipts:
Safe Burglary
Annual Payroll:
Glass
Square Footage:
Signs
Number of Units:
Other:
Agency:
Agency Contact & Phone:
Insured’s Name:
Policy #:
Mailing Address:
Occupancy:
Property & Amount Covered:
Building
Contents
Other
Property Location:
Contact & Phone for Inspection Appointment:
Special Instructions: