Submit An Assignment

If you would like to contact our office immediately regarding your project or loss call 855-822-1966 or send an email.

Otherwise, please fill out the form below and you will be contacted about your request as soon as possible. Please provide as much information as possible to assist us in processing your claim. Fields marked with a * are required.

If you are experiencing technical difficulty while trying to submit your request, contact Julie Kost 317-547-5580 or click here to email her.

Request Type

Your Contact Information

Claim Information

Uploading, please wait...

15MB Maximum.
If you are unable to upload all your files, please email the additional files (15MB MAX) with the claim number in the Subject line to:

Total upload size cannot exceed 15MB

How did you learn about us? (check all that apply)