Assign a New Claim
 

When Assigning New Claim please provide the as much of the following information as possible or attach your own loss form. 

CLIENT

• Company Name

• Client Rep

• Client Phone 

• Client Email

CLAIM

• Claim Number

• Policy Number

• Deductible

• Date of Loss

Insured/Claimant

• Name

• Address

• Phone

• Cell

• Email

Vehicle Details

• VIN

• Year

• Make

• Model

• Color

• Plate Number

Location

• Complete address

• Special instructions

Vehicle Damage

• Impact Area

• Drivable Y/N

• Notes