Insurance
Insurance Claim Intake
Start your insurance claim with Peridot Assist. This form collects your contact details, property address, insurance carrier, adjuster, and mortgage information so we can open your file and begin coordination.
For clients
No signature required
This intake form opens your file. It is data-capture only — no signature is required at this stage. Once we have your information, we'll reach out to confirm next steps and send the appropriate authorization forms.
For emergencies in progress, please call our 24/7 line at (678) 284-2444 rather than waiting on this form.
Trouble loading the form? Call (770) 284-5353 or email build@peridotassist.com and we'll send it to you directly.