Let us know more about your assignment, and we’ll get in touch to find the right expert for you.

To send an assignment, please fille out the form below and attach a .pdf of the FNOL if available. Once received, we will promptly respond and assign accordingly advising you of the assigned Consultant.

We sincerely appreciate your business and the opportunity!

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Your Information

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Address

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Your Assignment

Request a Consultant

Insured Name

Carrier Name

Claim Number

Loss Location

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Carrier Adjuster Name

Carrier Adjuster Email

Carrier Adjuster Phone

Carrier Adjuster Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Type of Loss (TOL)

Date of Loss (DOL)

Specific Assignment Instructions

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April 15 - April 16

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2025 MN Insurance Alliance – 1st Trade Show

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