independent claims adjusters, claim managers, insurance temporary service providers, multi-line claims, fire and allied lines, workers compensation, surveillance professionals, Oak Hill Associates, Inc.

Oak Hill Associates, Inc.

Auto Loss Assignment

Report to:		Company:
Email:		Address:
Telephone:		Claim #:
Report via Email		Report via Regular Mail

Narrative Assignment Instructions
Full Investigation

Instructions for Assignment

Insured Recorded Statement

Agreed cost of repair Insured vehicle

Claimant Recorded Statement

Agreed cost of repair Claimant vehicle

Witness Recorded Statement

Total loss evaluation

Photo/Diagram/Measurements of scene

	Digital Photography
	Regular Photography

Move salvage A.S.A.P.

File NATB

Obtain Police Report

Handle subrogation

Canvass for witnesses

Determine comparative negligence

Rule out bodily injury

Other:

Obtain Medical Authorization

Obtain Wage Authorization

Loss Information

Producer/phone:		Policy Number:
Date of Loss
Effective Date:		Expiration Date:
Insured Name:		Address:
Telephone:
Loss Location & Description:
Authority contacted:		Report #
Violations:
Loss Payee:		Deductible:
Insured vehicle - Year:		Make:
Model:		VIN:
Damaged Area:
Owner Name & Address:		Telephone:
Drivers Name & Address:		Telephone:
Where can insured vehicle be seen:
Where can claimant vehicle be seen:
Description of Claimant Property Damage:
Claimant Name & Address:		Telephone:
Injured Parties Name & Address:		Telephone:
Extent of Injury:
Other Info:

Oak Hill Associates, Inc.
2077 Burlington Ave.
Lisle, Illinois 60532-1788
Phone: 630.969.1999
Fax: 630.515.9554

Email: info@OakHillAssoc.com
URL: www.OakHillAssoc.com

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