Please fill out the form below to submit a case or claim Contact Name: (required) Company: (required) E-mail: (required) Street Address: Street Address Line 2: City: State / Province / Region Postal / Zip Code: Country: ---United StateCanada Phone: Case/Loss Name: Name of Insured/Client: Name of Claimant: date of loss: Claim Number/Your File Number: Description of Loss: Loss Location: Date of Inspection: Preferred Engineer: Upload a File: Upload a Second File: *** By submitting this form electronically to CED Technologies Inc.: CED Technologies Inc. (CED) has not been officially retained for this matter and this can only be done after CED has a signed retainer agreement with the client. CED does not give permission for any person or entity to represent a contract with CED and to do so is unlawful.*** Tweet Share Plus one Share