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.

Property Loss Assignment

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

Loss Information

Producer Address/Phone:		Policy Number:
Date of Loss		Policy Effective Dates:
Insured Name:		Insured Address:
Insured Home Telephone:		Insured Cell Number:
Insured Work Telephone:
Loss Location:
Fire Theft Lightning Hail Flood Wind Other:
Authority contacted:		Report #
Description of Loss:
Policy Information
A. Dwelling		B. Other Structures
C. Personal Property		D. Loss of Use:
Deductible:		Co-ins:
Other Coverages:
Mortgagee:

Instructions for Assignment

Full Adjustment

Agreed Appraisal

Insured Recorded Statement

Handle Contents Loss

Witness Recorded Statement

Proof of loss

Secure Non-Waiver

Police/Fire report

Secure Photos

Cause and origin

Inspect & Scope Loss

Subro investigation

Estimate of damage

A.L.E. information

Diagram of structure

Secure Agreed Price

Handle Salvage

Narrative Assignment Instructions

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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