Submit an Appraisal & Umpire Assignment

Step 1 of 4

Your Contact Information:
Company*
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone #*
Email*
Carrier Contact Information:
- Carrier Information is same as above.
Company
Contact Person
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone #
Email

Assignment Information:
Assignment Instructions*
Insured's Information:
Policy #
Phone #*
Alternate Phone #
Company
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email

Loss Location:
Type of Peril*
Type of Loss*
Date of Loss
MM slash DD slash YYYY
Claim Number
Address of Loss
Street Address Address Line 2
City and State*
City State / Province / Region
Zip Code and Country
ZIP / Postal Code Country
Description of Loss*
Were the Police or Fire Department Contacted?
- Yes
- No
Is There a Police Report or Fire Report?
- Yes
- No
What is the Report Number?

We are here to help

�鶹tv��Ƭ is here to assist and support you with managing your claim experience. Navigating the claim process is easier if you know what to expect. Visit our��Claim Resource��page for an overview of how to file a claim, important documents to include, and other helpful FAQs to address your most common questions.

+800.818.5619
appraisals@englemartin.com

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Submit an Appraisal & Umpire Assignment

Step 1 of 4

Your Contact Information:

Carrier Contact Information:

Assignment Information:

Insured's Information:

Loss Location:

Upload Document(s) to the Claim

We are here to help

Contact us

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Information

Loss Adjusting

Loss Adjusting

Claims Management

Claims Management

Specialty Marine & Transportation

Specialty Marine & Transportation

Specialty Audit �鶹tv��Ƭ

Appraisal & Umpire �鶹tv��Ƭ

International Capabilities

Specialty Audit �鶹tv��Ƭ

Appraisal & Umpire �鶹tv��Ƭ

International Capabilities