Claims Fill out the claim form completely and include all information pertaining to the claim. This claim is not an authorization for the repair or replacement of windshields or repairs for any other claimed damages. This claim will not be reviewed unless all appropriate boxes are filled with information relative to the claim. If a field doesn't apply to your claim, type N/A in the box. Should you deem your claim repair/replacement costs to be immediate, submit your claim form to Hadco Construction for liability evaluation and to your own auto/home insurance company for more expeditious handling. ALL correspondence, related to this claim, is done via email at claims@hadcoconstruction.com. NO EXCEPTIONS! NO PHONE CALLS! ONCE YOU HAVE COMPLETED THIS FORM PLEASE EMAIL ANY PHOTOS OR SUPPORTING DOCUMENTS TO CLAIMS@HADCOCONSTRUCTION.COM Claim Information Full Name * Email * Home Phone ext. Buiness Phone ext. Address Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Code Insurance Company * Insurance Expiration Date * Insurance Phone # * ext. Drivers License State * AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Drivers License Last 4 numbers * Drivers License Expiration Date * Offending Property/Vehicle Description * Identification Number * Direction of Travel (at time of Incident) * License Plate # * Affected Property/Vehicle Year, Make, Model & Color * Tire Size * License Plate # * Registration Expiration * Direction of Travel (at time of Incident) * Odometer Reading (at time of Incident) * Pictures Upload Images Click or drag a file to this area to upload. SUBMIT 1450 West 1850 North Lehi, UT 84043 T. 801-766-7611 Navigate Careers Services Existing Homes About Us Blog Contact Us Copyright 2021 Hadco Construction Privacy Terms Sitemap Claims f in