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(800) 213 4366

HOME OWNER ASSOCIATION, ANNUAL RENTALS AND PROPERTY MANAGEMENT COMPANY

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Report a Claim

Please fill out the form below to notify Coastal Association Managment of a Claim for Property Damage or a Claim against a Property Association by Third Party.

Property*

The Owner's Information:

First & Last Name*

Email*

Phone*

Street Address*

City*

State*

Zip*

The Tenant's Information:

First & Last Name*

Email*

Phone*

Street Address*

City*

State*

Zip*

Person who is claiming personal injury:

Owner

Tenant

Guest

First & Last Name*

Address*

Email*

Current Condition*

Was this weather related? Yes No

If yes, please explain

Was the person a child? Yes No

Approx age of the person?

Guardian or contact for the person

Witness Information

Name

Phone

Property Claim Type

Auto

Burglary

Fire

Flood

Wind

Hail

Water

Vandalism

Sewage

Other

Is the property inhabitable? Yes No

Has a restoration company been contacted? Yes No

If so, which company

Date of Claim

Approximate Time of Claim

Claim Being Reported by

Detailed Summary of Occurrences

Any other details or comments

Are you filing this report for record purposes only? Yes No

Our Address

Coastal Association Management
1016 2nd Ave North
North Myrtle Beach, SC 29582
P.O. Box 4838
North Myrtle Beach, SC 29597

Coastal Association Management, Inc. is a Grand Strand based Property Management Company specializing in Association Management & Long Term Rental Management.