New Loss Assignment Form – Point to Point Forensics

Please complete the form below and submit via our secure server. Point to Point Forensics will provide a prompt response to your request for our services. We will contact the insured or Claimant as soon as possible. This method of loss assignment is optional; we also accept assignments by telephone and email.

New Loss Assignment Form

Your Name

First

Last

Your Company Name

Phone Number

Email Address

Claim Number

Claim Name

Insured Name

Date of Loss

Loss Type

Insured Email

Insured Phone

Additional Notes

Loss Notice / Declaration Pages

Maximum file size: 516MB

You can upload PNG, JPG, DOC, and PDF files

If you are human, leave this field blank.