Submit a Claims Assignment

Assignment Submission Form

*Required Fields

Once you click submit, make sure your browser arrives to a thank you screen or your assignment has not gone through. Call 815-464-8806 if you experience any issues.

Description of Assignment(s):

Attach assignment writeup or information:

Note: Acceptable file types for upload are: PDF, Microsoft Word (.doc, .docx), Microsoft Excel (.xls, .xlsx), Plain Text (.txt), .MSG, .TIF, JPG and PNG. Maximum attachment size is 50MB.

Alternatively, we can accept any type of file format via email at assignments@empathyclaims.com.

Attach another file:

Note: Acceptable file types for upload are: PDF, Microsoft Word (.doc, .docx), Microsoft Excel (.xls, .xlsx), Plain Text (.txt), .MSG, .TIF, JPG and PNG. Maximum attachment size is 50MB.

Alternatively, we can accept any type of file format via email at assignments@empathyclaims.com.

Your Name: *

Email Address: *

Phone Number: *

Your Company:

Your Zip Code:

Date of Loss:

Location of Loss:

Claim Number:

Insured’s Name

Insured's Phone Number:

Claimant's Name

Claimant's Phone Number:

Assignment Notes:

How did you hear about Empathy Claims?

Once you click submit, make sure your browser arrives to a thank you screen or your assignment has not gone through. Call 815-464-8806 if you experience any issues.

Submit claim assignments: nationwide,
all 50 states in the USA as well as Global.

Assignment Submission Form

Our Mission

Praise for LCS

Submit claim assignments: nationwide, all 50 states in the USA as well as Global.

Assignment Submission Form

Our Mission

Praise for LCS

Submit claim assignments: nationwide,
all 50 states in the USA as well as Global.