New Assignment - Property

To submit a claim, send the information via email to assignments@norcross.com, which notifies the Claims Team immediately. As an alternative, you may complete the form below.

Please complete as many fields as possible so that we are able to process your instructions as soon as we can once we receive them. Fields marked with an asterisk are required.

–CLIENT INFORMATION
Assigning name*
Client Company*
Address*
Address
City*
State*
Zip code*
Your email*
Contact Number*
Fax Number
Date of Loss
Claim Number
–COVERAGE INFORMATION
Policy Number
Policy Dates
Coverage amount
Deductible
Reserves
Limit
Coinsurance
ITV
–Insured
Insured name
Insured Contact
Address
Address
City
State
Zip Code
Telephone
Email
Other Parties

Tenant/Agent/Claimant/Witness/Driver
Address
Address
State
Zip Code
Location of Loss
City of Loss
Loss Description
Comments
–INSTRUCTIONS
Report due date
Budget
Upload Attachment
Max. file size: 256 MB.
Phone
This field is for validation purposes and should be left unchanged.

New Assignment – Property

–CLIENT INFORMATION

–COVERAGE INFORMATION

–Insured

–INSTRUCTIONS