Submit an Assignment

SUBMIT AN ASSIGNMENT

CLAIM INFORMATION

Claim Number*
File/Case Number
Date of Loss*
Address*
CAT Event Name
Type of damage (wind, flood, fire, etc.)
Areas of the property that need inspection (roof, interior, exterior, etc.)
Any additional details or information we should consider?
Scope of Assignment / What is being disputed?*

INSURED

Insured Name*
Insured Phone
Insured Email

ASSIGNER (YOU)

Assigner Name*
Assigner Phone*
Assigner Email*

DEFENSE COUNSEL

Defense Counsel Name
Defense Counsel Phone
Defense Counsel Email

PLAINTIFF COUNSEL

Plaintiff Counsel Name
Plaintiff Counsel Phone
Plaintiff Counsel Email

OTHER CONTACT 1

Name
Phone
Email
Title

OTHER CONTACT 2

Name
Phone
Email
Title

OTHER CONTACT 3

Name
Phone
Email
Title

INSPECTION COORDINATION

Who should the scheduling be arranged with?*Defense CounselPlaintiff CounselOther

Other Scheduling Contact

Do we have permission to schedule directly with plaintiff's counsel? Note, we will always provide confirmations of any inspections with the assigner and the Defense CounselYesNo

SERVICES NEEDED

*Note we recommend engaging the BC Litigation Review with Desk Evaluation in conjunction with all 360 Property Imaging Requests to expedite the report turnaround. We can be working on the entire document review, estimate comparative, recommended adjustments, etc in conjunction with the 360 process so that once the imaging is returned, we simply have to review/finalize the the open items and submit the report.

Building Consultant (BC) Services*
Approval to engage Engineer Desk review if causation or scope of repairs dispute(s) exist
Engineering Services*
360 Property Imaging*

Note, all our pricing is fixed and approved by LIGA mgmt, if you need a copy of the LIGA Litigation Project Fee Schedule, please contact Christian White at cwhite@keystoneexperts.com

UPLOAD DOCUMENTS

Document One (10MB max)

DocumentTwo (10MB max)

DocumentThree (5MB max)