New Loss Form - RCF, Commercial Property Inventory Services

If you would like to assign us to your next claim just fill in the sheet below and send it to us. Our closest representative will be able to get started. Make sure you include your contact information and that of the insured. We will discuss details with you as soon as possible.

1Contact Information

2Claimant Information

3Carrier Information

4Adjuster Information

5Other

Assignment Submitted By*
Name of Policy Holder*
Contact Name*
Email*
Phone Number*
Address*
Street Address Address Line 2 City State ZIP Code
Date of Loss
MM slash DD slash YYYY
Type of Loss
Type of Stock Involved
Value of Damaged Stock
Stock Physical Location