G&H Claims Professionals

Independent Claim Service Professionals & OSHA Certified Risk Management Specialists

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Online Assignment Forms - Property Damage



Below is a Form to submit assignments pertaining to Property Damage. All assignments are acknowledged within 24 hours of receipt. If an Acknowledgement is not received within 24 business hours, please contact Office Manager, Tracie Mattox, at 800-300-5435. G&H Claims Professionals sincerely appreciates your business!


Company Contact
Company Name & Contact Information
Company Claim/Policy #
Date of Loss
Insured Name
Insured Contact Information
Claimant Name
Claimant Contact Information
Loss Location
Description of Incident
Property Damaged
Additional Instructions
Office Use Only - Property Damage

Independent Claims Service Professionals & OSHA Certified Risk Management Services