Claim Assignment Form

Whatever it Takes, We Respond Immediately to the Situation

Submit A Claim

Please click one of the links below to submit a claim using our automated claim submission form. Your assignment will be sent to our HOTLINE.

Upload Your Completed Loss Form Here:

Electronic claims will be forwarded immediately upon receipt to the appropriate branch. The assigned branch will then follow up with the client the next business day. If you have questions, please call 855-712-7210.

Attention: If this is an emergency assignment, please call 888-CUSTARD for immediate dispatch.