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Daystar Services, LLC.
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3900 N Causeway Blvd.

Suite 1200

Metairie LA 70002

Business Loss Notice
Business Loss Notice

Contact Information
Your Full Name:
(as listed on policy now)
Your Email Address:
Daytime Telephone Number:
Description of Loss
Time & Date of Accident/Claim:
Time AM PM
Date
Location:

Type of Accident/Claim:

Property
Liability
Automobile
Workers Comp
Other:

Description of Loss:

Name(s) of Injured Parties:
Vehicle Description:
(applicable to Auto Claims Only)
Driver Name:
(applicable to Auto Claims Only)
Any Additional Information Not Requested Above
Please Note: Insurance coverage cannot be bound without a written binder from our office.
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504-273-0056

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Let us make the grass greener on your side!
Daystar Services
3900 N. Causeway Blvd.
Suite 1200
Metairie, LA 70002

Phone:  (504) 273-0056
  Fax:  (888) 316-5821
 
Email Us

Hours of Operation:

Mon-Fri: 9:00-5:00
 


 

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