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New Assignment
866.888.2280
New Assignment
Please complete the applicable fields below and we will confirm the assignment with you shortly.
"
*
" indicates required fields
Date
MM slash DD slash YYYY
Insurance Company
*
Is this a rush assignment?
Yes
No
Email
*
Enter Email
Confirm Email
Claims Adjuster
Name
Email
Phone
Hidden
Defense Attorney
Hidden
Name
Hidden
Law Office
Hidden
Email
Hidden
Phone
Person Making Assignment (if different than above)
Name
Email
Phone
Claim Information
Claim #
*
File #
Signed Documents Needed?
Yes
No
Policy Number
*
Policy Limits
*
Notary Required
Yes
No
Date of Loss
*
MM slash DD slash YYYY
Case Name – if in litigation
Named Insured
*
Defendant
Facts of Loss – Type of Loss
*
Additional Information (please note if any fatalities or serious injuries involved)
Assignment Instructions
Recorded Statements(s)
Recorded Statement(s)
From who?
Signed Documents
Obtain Signed Documents
From who?
Notarized Documents
Obtain Notarized Documents
From who?
Contact Information
Locate an Individual and Obtain Contact Information
From who?
Location
Location Search / Skip Trace
For who?
Obtain Photographs
Obtain Photographs
Vehicle Photographs
Take Vehicle Photographs
Scene Photographs
Take Scene Photographs
Previously Taken Photographs
Obtain copies of previously taken photographs (Please specify in additional information section)
Scene Canvass
Scene Canvass
MSC / Mediation Attendance
MSC / Mediation Attendance
Small Claims Attendance
Small Claims Attendance
Trial Monitoring
Trial Monitoring
Subpoena Service
Subpoena Service
Other
Other
Involved Party
Select
Insured Driver
Insured Passenger
Named Insured
Claimant Driver
Claimant Passenger
Claimant Owner
Witness
Other (describe)
Other (describe)
Name
Email
Phone
Address
Additional Contact Information (Work, Family, etc.)
Add Party
Remove Party
Explain
Vehicle / Property Type
Select
Insured Vehicle
Claimant Vehicle
Insured Property
Claimant Property
Other
Vehicle / Property Description
Add Item
Remove Item
Involved Parties
Vehicles / Property Involved
File Attachments
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Select files
Accepted file types: jpg, gif, png, pdf, doc, docx, xlsx, tiff, tif, Max. file size: 512 MB.
