Forms

Below are many of the forms that are required during the construction process for insurance related repairs. For your convenience, you may click on any of the forms below to print and complete.

Once completed, please mail your form(s) to our main office:

Mark Scott Construction, Inc.
2835 Contra Costa Blvd.
Pleasant Hill, CA 94523

If an original signature is not required, you may fax the completed form(s) to our main fax:

(925) 944-0908

noneWork Authorization: This is our standard work authorization. This document authorizes Mark Scott Construction, Inc. to proceed with repairs to your property.

noneCustomer Satisfaction Survey: It is very important to us to hear back from our clients. So if you have anything to say, please take a minute to fill this out.

noneAuthorization Third Party: This form is used when the insurance carrier lists the homeowner’s mortgage company on the payment to Mark Scott Construction, Inc. This document gives Mark Scott Construction, Inc. permission to speak to your mortgage company pertaining to your claim in order to receive endorsement on our payment in the case that your mortgage company is listed.

noneAuthorization to Repair – State Farm: This is the work authorization for State Farm claims. This document authorizes Mark Scott Construction, Inc. to proceed with repairs to your property.

noneAuthorization to Pay – State Farm: This form is required by State Farm Insurance to pay Mark Scott Construction, Inc. for the repairs done to your property.

Certificate of Satisfaction & Authorization To Pay – Allied/Nationwide: This form is required by Allied/Nationwide to pay Mark Scott Construction, Inc. for the repairs to your property.

noneAuthorization To Repair – AAA: This is the work authorization for AAA claims. This document authorizes Mark Scott Construction, Inc. to proceed with repairs to your property.

noneAuthorization To Pay – AAA: This form is sometimes required by AAA to pay Mark Scott Construction, Inc. for repairs or Emergency Services performed.

noneApplication for Employment: At Mark Scott Construction, Inc. we are always accepting applications.