Online Assignment Submission Form

You can submit your assignments online using our form below:

You can also send assignments to or by fax to 866-800-0668. Please call us at 877-840-6277 concerning any questions about sending assignments or our services.

Assignment Submission Form



“Work was done promptly, and the report is very thorough and concise. The photos are excellent in illustrating how the accident happened. Very good, quality work.”

— Scottsdale Insurance Company




Call us toll free at 877-840-6277 for further information about our claims adjusting and investigation services.

You can also use our Contact Form to email us if you have any questions or would like a representative to contact you.


Churchill Claims offers:

  • Multi-line adjusting
  • Competitive and flexible rates
  • Detail-oriented adjusters with full integrity
  • Quick turnarounds on reports
  • Licensed and insured adjusters
  • Efficient, fast and cost-effective services

Email assignments to
Fax assignments to 866-800-0668

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