Lead - Flood Medics Restoration

Flood Medics – Referral Submission

🤝 Partner Referral Portal

Submit a Water Damage Referral

Help your customers get fast, professional restoration. Fill out the form below and our team will be in touch shortly.

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Thank you — the Flood Medics team has been notified and will follow up with the customer shortly.

Incident Information

Date * Please select a date.

Job # (if known)

Description of Damage * Please describe the damage.

Loss Location

Location Address *

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Select from the dropdown for a verified address. Please enter and select a valid address.

Customer Information

Customer Name * Please enter the customer's name.

Customer Email (optional) Please enter a valid email address.

Customer Contact # * Please enter a valid phone number.

Referring Technician

Referring Technician's Name * Please enter the technician's name.

Company Name (optional)

Submissions are sent directly to the Flood Medics dispatch team.