New Assignment Form

Fields marked with * are required

Customer Information


Team Leader Information

Insured Information


Claimant Information

Additional Claimants will be added after clicking the Add Additional Claimants button at the bottom of the page.

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