Online Claims From

1 Type Of Claim

I am reporting a claim for damages caused by CenterPoint Energy and would like to be reimbursed. I am reporting damage to CenterPoint Energy facilities caused by me or a third party.

2 Electric or Gas

CenterPoint Energy has Gas and Electric facilities. The incident I am reporting is a result of: Electric Gas

3 Type Of Damages

Property Damage

Auto Property Damage

Bodily Injury

Auto Property Damage and Bodily Injury

4 Contact Information

First Name *

Last Name *

Telephone Number *

Address *

City *

State *

Zip Code *

Email Address *

Verify Email Address *

ESI-ID:

Gas Account Number

Business Name

5 Incident Information

Date of Incident

Incident Address

City

State

Zip Code

Brief Description of Incident *

4 Insurance Information

Insurance Name *

Insured's First Name *

Insured's Last Name *

Insurance Policy Number

Insurance Claim Number *

Insurance Adjuster Name *

Insurance Adjuster Phone Number *

Insurance Adjuster Email Address *

Verify Adjuster Email Address*

Insurance Fax Number

4 Other Responsible Party

First Name *

Last Name *

Phone Number *

Address *

City *

State *

Zip Code *

Email Address *

Verify Email Address *

6 Property Damage

Damaged Item(s)

Brief Description of Damages

7 Supporting Documents (Police Reports, Photos, etc. )

(MAX 10M)