Blog – trcil.com

Assign A Claim

Who Is Your Carrier?

Referral Type

Restoration Mitigation Appraisal

Insured/Resident Information

First Name

Last Name

Address

City

State

ZIP/Postal Code

Phone

Is The Owner Information Different?

Yes

Policy Information

Claim Reference #:

Policy Number:

Deductible Amount:

Policy Limits

Dwelling

Contents

Other

Loss Information

Loss Date

Loss Type

Is This An Emergency?

Yes No

Loss Description

Adjuster Information

First Name

Last Name

Independent Adjuster:

E-mail address to send confirmation of assignment to:

Assigned Franchise