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Assign A Claim

We want to make assigning a claim to Claims Associates as easy as possible.  The form below allows you to complete the basic information necessary for us to set-up and begin handling your claim.  There is a separate box for any specific instructions you may have, as well as the ability to include attachments.

In addition to assigning a claim through this form, you may email,  fax or call us:
Fax:     (605) 333-9835
Telephone:   (605) 333-9810 or (888) 654-6495

Thank you for your submission!