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SUBMIT ASSIGNMENT
SUBMIT AN ASSIGNMENT
Appraisal Assignment Form
Insurance Company
Claim Representative
Company Street Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Company Phone
Company Email
Claim #
Policy #
Date of Loss
Type of Loss
Insured Name
Insured Address
Insured Phone
Insured Email
Opposing Appraiser Name
Opposing Appraiser Phone
Opposing Appraiser Email
Loss Location
Coverage
Deductible
Loss Details
Instructions
Upload File
Upload supported file (Max 15MB)
Submit
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