Our dedication and loyalty remains a top priority at

Infinity Appraisal Group Inc

Our account managers specialize in customized workflow designs.  As insurance industry professionals we understand the importance of having a business partner that understands internal workflows.  Our workorce management team will develop a plan to suit your corporate structure.  Contact a true team of professionals to help your business succeed.

 

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Company Name:

Contact Name:

 

 Adjuster Dispatcher Other

Telephone No:

Email:

Fax:

Sent Confirmation By:

 E-Mail Fax

Type of Assignment :

Claim No:

Policy No:

Deductible:

(put dollar amount only, 0 if none)

Date of loss:

(mm/dd/yyyy)

Type of loss:

----------------------------------------------------Vehicle Information---------------------------------------------------
Year:

Make:

Model:

VIN#:

Color:

LIC Plate:

----------------------------------------------------Vehicle Location---------------------------------------------------
Location:

Address:

City:

State:

Zip:

Telephone No:

Damage:

Special Instruction: