File a Tenant Protection Claim

To file a tenant protection claim, please complete the form below.  If you prefer to file a claim over the phone, please call us at (310) 955-4181.

Breko Claim Form
Tenant First Name  
Tenant Last Name  
Tenant Email  
Tenant Phone  
Tenant Street Address  
Tenant City  
Tenant State   
Tenant ZIP Code  
Facility Name  
Facility Address   
Cause of Loss   
Move-In Date   
Date of Loss - Approximate in Unknown   
Your Unit #  
Total Amount of Loss  
Detailed Description of Loss   
Upload Supporting Files   Attach files
Each of your file(s) can be up to 20MB in size.
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