Damage Claim Form

Please fill out the claim form below and a claim investigator will contact you. Each claim is investigated and evaluated on a case-by-case basis. Submittal of a claim is not a guarantee of payment. Please see the frequently asked questions for more information: www.DTEEnergy.com/DamageClaimFAQ

Your contact and property details

Customer Name*

Enter the name on your DTE account

Account Number (if applicable)

Enter your DTE account number

Property Owner or Tenant*

Property Owner

Tenant

Phone Number*

Enter preferred phone number.

Phone

Email Address*

To improve communication, please provide your email address.

Utility associated with the damage*

Electric

Gas

Is the location of the incident different from the mailing address?*

Yes

Incident - Address*

If a specific address is not found, please include cross streets

Incident - City or Township*

Incident - State*

Michigan

Incident - Zip Code*

What was the main cause of the damage?

Select all that apply:

Select

DTE is not responsible for food loss, loss of power, or property damage caused by animal interference, acts of nature (such as lighting, floods, storms, heat or wind, etc.), or other events outside our control.*

What was the main cause of the damage?*

Select

DTE hired contractor*

Select

What was damaged?*

Select

Please describe all damaged items(s):*

Be sure to include the model number, serial number, and the age of any electronic equipment. Please see the FAQs for more information.

Examples:

Washing machine ; WM3500CW ; 07-104720-04 ; 6 years old
Ruts in yard or lawn
Ford, Escape, 2017

How did the damage occur?*

To help process your claim faster, please be thorough and provide as many details as possible. Be sure to attach supporting documentation at the end of the online form.

Seeking reimbursement or restoration?*

Reimbursement

Restoration

What are you seeking?*

Select

DTE is not responsible for food loss, unless the loss was a direct result of DTE negligence.*

DTE will not reimburse for the full replacement value. For any damaged appliance, electronic, or equipment, a depreciated value will be calculated.*

It is the customers responsibility to obtain two to three quotes and submit to DTE for approval. If needed, DTE reserves the right to request an independent estimate.*

Total estimated reimbursement dollar amount:*

If the claim does not have any invoices or receipts attached, it is subject to denial.

Please be sure to attach supporting invoices and receipts for costs associated with damages*

Have you contacted your insurance carrier?*

Yes

Have you filed a claim with your insurance? *

Yes

Insurance company and agent name information

Provide the name and phone number of the insurance company and agent.

What is your preferred of contact?*

Preferred method of contact for claim status updates

Please Note: By selecting text alerts, you agree to DTE’s Terms & Conditions and Privacy Policy. Message and data rates may apply. Frequency may vary.

SMS

What is your preferred method of contact?*

Preferred method of contact for claim resolution

Letter

Supporting Documentation

Please submit supporting documentation that confirm the damage and expenses.

Photographs of the damaged items*

Itemized invoice receipt or repair estimates, must include company name and contact information, customer name, address, amount and date of the request*

Itemized receipt of perishable items*

If applicable: photos of staking (before and after)*

Supporting documentation:

Drag and drop files here or

Send me a copy of my responses

Your contact and property details

Damage Overview

Supporting Documentation