Submit New Assignment Submit Submit an assignment online! Claim Number Carrier Assigner's Name Assigner's Email Enter Email Confirm Email Assigner's PhoneOther Adjuster or Attorney Information (Optional)Name and Address of InsuredContact Information for Insured and/or Insured's RepresentativeDate of Loss or Event MM slash DD slash YYYY Type of Loss and Primary Question to AnswerAny Other Information (Optional)Attach File (Optional)Max. file size: 64 MB.Attach File (Optional)Max. file size: 64 MB.Attach File (Optional)Max. file size: 64 MB.Attach File (Optional)Max. file size: 64 MB.Attach File (Optional)Max. file size: 64 MB.Attach File (Optional)Max. file size: 64 MB.Attach File (Optional)Max. file size: 64 MB.Attach File (Optional)Max. file size: 64 MB. Δ