Claims Service Report

It is very important to us that you receive excellent claims service from your insurance carrier and our agency. You are a valued customer! Please share with us your comments and/or concerns regarding your recent claim.

Name

First NameLast Name

Email

example@example.com

1. Was Prineville Insurance Agency and/or your insurance company representative who initially took the claim report friendly and helpful?

Other

2. Were all representatives who were involved in your claim courteous and polite?Yes

3. Did all of the claim representatives adequately communicate with you?

4. If applicable, was the repair shop or outside vendor you used prompt, courteous, and helpful?

Repair Shop used:

5. Would you recommend the repair facility or vendor to a friend?

On a scale of 1 to 10 with 10 being the highest, please rate your claims experience:

Please share with us your experience, comments and/or concerns: (this is very important)

May we share this information with potential customers who inquire about our services?

Claims Service Report

Thank you, for your time!