2021 Winter Weather Emergency

Information Research Request

sidlr form

Claim Handler Name

Claim Handler Email Address *

Claim Handler Direct Phone

Claim Number

Facility Name

Address

City

State/Province

Zip/Postal

Country

Period of Interest Start

Period of Interest End

I request that Nelson research the information selected below regarding the location entered above:

Electrical Service Interruption

Gas Service Interruption

Domestic Water Service Interruption

Civil Authority Orders

Click here to download multiple locations entry form.

Please populate the form and return to sidlr@nelsonforensics.com.