Authorize Peridot Assist to communicate with your insurance carrier on your behalf and to receive insurance proceeds directly for your claim.
This Letter of Authorization (LOA) is required on every insurance claim we handle. It authorizes us to:
The form includes signature and initials fields. By submitting you are entering a binding agreement with Peridot Assist Construction & Design.
Trouble loading the form? Call (770) 284-5353 or email build@peridotassist.com and we'll send it to you directly.