How May We Serve You?

New Loss Assignment Form

Celebrrating 25 Years in Business

New Loss Assignment

Please fill out the form below with the necessary claim information, so we may provide immediate assistance. One of our salvors will be in touch as soon as possible to address any concerns. This will allow Nardone & Company, Inc. to determine the services necessary in order to complete the claim efficiently and effectively.

Insured Name

Insured Contact Name

Insured Contact Email

Address

City

State

Zip

Cell

Phone

Fax

Please check one

Independent Adjuster

Insurance Company Adjuster

Adjuster Name

Title

Company

Adjuster Address

Adjuster City

Adjuster State

Adjuster Zip

Adjuster Cell

Adjuster Phone

Adjuster Fax

Adjuster Email

Insurance Company

Claim Number

Date of Loss

Type of Loss

Type of Stock

Value of the Stock

Description of the Stock

Policy Limits

Co-Insurance (if Applicable)

Public Adjuster Contact

Public Adjuster Company

Public Adjuster Cell

Public Adjuster Phone

Public Adjuster Fax

Public Adjuster Email

Special Instructions

Damages

Separate Damages

Inventory Reconstruction

Dispose of Salvage

Inventory Damage and Undamaged

Inventory Damages Only

Other Damages

Nardone and Company, Inc. is a Veteran Owned Small Business

NEED MORE INFORMATION?

CONTACT US

Where do you want to go?

George Nardone Jr. Texas Adjuster License - Specializes in Aviation

Nardone and Company, Inc. is a veteran owned business

How May We Serve You?

Celebrrating 25 Years in Business

New Loss Assignment

Nardone and Company, Inc. is a Veteran Owned Small Business

NEED MORE INFORMATION?

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Copyright © 2022