Submit New Assignment

To submit an assignment, please complete the following form.

Current step:1. Submitter Info
2. Claim Info
Your Name
Your Company Name
Email
Phone
Address
City
Province
Postal Code
Date of Loss
Claim Number
Insured Name
Insured Phone Number
Type of Service
Description of Loss
VIN or Vehicle Year, Make, and Model (if applicable)
Current Vehicle Location and Contact Phone Number
Yard Stock Number
Attach Files