New Assignment

To submit a new assignment, you may choose one of the following options:

2. Submit your own Assignment Notification form via email to

3. Phone in your assignment to (516) 488-6369.

4. Fill in and submit the form below:

Received From
Date Assigned
Report to - Claim Representative
Vendor Attorney Assigned
Vendor Attorney Phone #
Independent Adjustment Company
Independent Adj. Co. File #
Insurance Company
Claim Rep. Phone #
Claim #
Policy #
Insured's Name
Insured's Phone or Contact Person
Public Adjuster Assigned
Public Adjuster Phone #
Loss Location
Date of Loss
Known Details of the Fire or Incident