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National Property Claims Service
Assign a Claim
                                        Compass Claims Service, Inc : Property Loss Assignment Form

               - Please provide as much information and detail about the claim as possible
               - If you do not have the information for a required field, please enter "unknown"
               - You may phone or email to assign this claim if preferred
Claim Detail & Assignment Type
Date of Loss (mm/dd/yy)
Type of Property Involved:
Commercial
Residential        
Description of Loss/Peril
 General Assignment Instructions:
Adjuster/Insurance Company Information
Insurance Company Name
Adjuster First Name
 Adjuster Last Name
Mailing Address
 Building/Suite
City
State        
Zip
Phone Number
Fax Number
E-Mail
Insured Name & Contact Information
Insured Last Name
Insured First Name
Address 2
Address 1
Zip
State        
City
Additional Phone Number
Phone Number
 Fax Number
Policy Information & Coverage Details
Policy #
 Policy Limit
 Deductible
Claim/File #
 Policy Effective Dates
 Type of Dwelling
Instructions or Other Information Regarding the Claim
Mailing Address:

Compass Claims Service, Inc.
P.O. Box 26414
Prescott Valley, AZ 86312

Phone:    (928) 759-3990
Fax:         (928) 759-3991

Email: info@compassclaims.com