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Disclosure

By submitting this claim form, you acknowledge and agree to the following:
This form does not guarantee approval, payment, or acceptance of your claim. All claims are subject to review, investigation, and approval by the applicable insurance carrier in accordance with the terms, conditions, exclusions and limitations of your insurance policy. This form is solely a means to notify Prolines Insurance Agency, LLC of your intent to file a claim with your insurance carrier. It does not create any legal or binding agreement between you and Prolines Insurance Agency, LLC or the insurance company. If you have any questions about your policy or the claims process, please contact Prolines Insurance Agency, LLC at 813-513-7414 or email us at info@prolinesinsurance.com. We are ready to assist you through the claim process.