Carriers and TPAs

Submit an assignment.

Claim number, loss location, what you need. We reply within one business day.

Section 1

Contact

Name *

Phone *

Email *

Best way to reach you

Section 2

Assignment

What you need *

Claim Number

Policy Number

Carrier or TPA

Date of loss *

Loss type

Section 3

Loss

Loss location *

Description *

Section 4

Attachments

Photos, estimates, or the assignment sheet

📎 Add a file 📎 Add a file 📎 Add a file 📎 Add a file 📎 Add a file

Up to 5 files, 8 MB total.

✓

Received.

We’ll reply within one business day.

← Back to home