Mortgage Insurance Claim Draw Request

Thank you for choosing GreenState Mortgage for your home loan. We are sorry that you have experienced damage to your home. We know that this can be a stressful time so rest assured that we are here to help make this process quick and easy for you. Please complete the form below to submit your insurance draw request(s).

Please allow 48 business hours (Monday – Friday 8:00 AM – 5:00 PM) for your request to be processed.

How are you affiliated with this loan? * 

Borrower
GreenState Associate
 










What type of draw are you requesting (select all that apply)?
Select “Out of Pocket Reimbursement” for invoices or receipts that you have paid and need reimbursement.
Select “Vendor Payment” for invoices that have not been paid.

Out of Pocket Reimbursements?

Yes
No
 

Please complete the Out of Pocket Reimbursement section if you have made payments to vendors for which you are requesting reimbursement. Enter each vendor total to be reimbursed on a separate line.

NOTE: In order to process your reimbursement, a receipt or a $0.00 balance paid invoice must be attached for each line item/vendor. If attaching an invoice for reimbursement, proof of payment such as a cancelled check or receipt from vendor must also be included.






















Vendor Payments?

Yes
No
 

Please complete the Vendor Payments section for invoices to vendors which have not already been paid. Enter each invoice on a separate line, grouped and subtotaled by vendor.

NOTE: In order to process vendor payments a copy of the invoice must be attached for each vendor or invoice being paid.

We will mail the payment directly to the vendor(s) unless requested differently in the “Special Comments” section below.”
































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