How May We Help You?

You’ve reached the ALE Housing Request Hotline. Please complete the form below and one of our ALE Specialist will contact you immediately. Make sure to let us know the best method of reaching you. Thank you for choosing ALE Solutions!

Fields that have a “*” are required.

 

Please Choose One

Need Temporary Housing
Fair Rental Value Assessment
Hotel Accommodations
 

Claim Rep Information

Contact*

Company*

Address

 

City

State

Zip code

 

Best Method of Contact

(you may choose more than one method)

Office number*

Pager number

Fax number

 

Cell number

Email*

 

Claim Information

Claim number*

Type of loss

length of stay

 

Date of loss

Value of home

Ale limit

 

Homeowner Information

Name

Home number

Work number

Other number 1

Other number 2

 

Number of adults*

Number of childrens*

Pets ?*

 Yes      No
 

Description (how many, type, size?)

 

Damaged Residence Information

Address*

City*

 

State*

Zip code

Notes