New Assignment Form

Fields marked with * are required

Customer Information


Team Leader Information

Insured Information


Claimant Information


Assignment Information


Injury / Damage / Coverage


Individual file size must not exceed 10MB

As always we will conduct our own inspection, take our own photographs and prepare our own estimate. However , depending on how the claim develops, we may need to contact you relative to the insured's or claimant's photos and/or estimates. If you wish to provide these attachments to us now , please attach any damage photos, repair invoices and repair estimates you may have on file using the upload option below.

Please contact Frontier Technical Support at