Download one of our claim assignment forms below. The forms can be completed and emailed directly to firstname.lastname@example.org as an email attachment:
Please note that you must save the file to your computer and rename it before it can be emailed correctly using the “Submit Now” button.
If you already have your loss notice and/or claim documents ready, you can email them directly to us at our general mailbox:
Have a rush claim that needs to be seen as soon as possible and you don't have all of the loss information yet? Not a problem. You can call or send a quick fax to our office and we'll assist you with getting the loss assigned immediately!
Just want to make contact or have a question regarding a claim assignment? You can utilize our contact form to have one of our representatives contact you or enter the new claim assignment information: