Field Claim AssignmentLeading Claims InnovationField Claim Assignment Claim Type: * Field Inspection Reinspection From (Carrier Name): * Adjuster: * Adjuster Phone: * Adjuster Email: * Claim Return Email - if different: Cause Of Loss: * Claim Number: * Date of Loss: * Insured: * Insured Phone: * Loss Address: * Assignment For: * Scope, Narrative, Photos and Estimate Contact 3rd Party – i.e. PA, Claimant or Contractor Contractor / PA information: Additional Instructions / Information: NOTE: To help expedite please provide as much information that can be available.Please attach:1. Loss Report2. Declarations PageAdd Support Documents File Upload: Drop files here or click to upload Choose FilesMaximum file size: 150MB If you are human, leave this field blank. Submit
