Make an Assignment

1. Adjuster Information

Name of Adjuster

Title

Company

Phone

Fax

Email

Full Address

2. Insured Information

Name of Insured

Full Address

Phone

Claim Number

Date of Loss

3. Claimant Information

Name of Claimant

Full Address

Phone

Specific Assignment
(What can we do for you?)

Other Important Information

 

Once you submit your information, you will receive a formal acknowledgement letter, and your claim will be immediatedly assigned to a claims professional. Our initial report will follow within ten business days.

In the interim, if you have any questions or concerns, please feel free to call us at (800) 261-0824 or reach us via email. Thank you for thinking of us.