Catastrophe Assignment Form

Please complete and submit the following information regarding your Catastrophe claim assignment or email your assignment to

Your assignment will be sent to our HOTLINE for immediate processing.

Required fields are marked with *

For techical assistance, please contact our IT Department at 1-877-477-2223
(Monday through Friday between 8:00AM and 5:00PM Eastern)

We are not accepting submissions with ZIP files attached at this time. You are able to select multiple files to upload with IE 10 or greater as well as Chrome, Firefox, Edge, Safari, and Opera.

Location of Adjuster Assignment

Submitted By

Report To (if different from above)

Loss Information

Insured Information

ZIP files will get stripped from the assignment prior to sending it to HOTLINE. You can select multiple files to upload instead as long as your browser is IE version 10 or greater, Chrome, Firefox, Safari, or Opera. To select multiple files in the File Dialog, hold the SHIFT key + mouse click to select a range of files or the CTRL key + mouse click to select individual files. Click here to learn more about selecting multiple files