Submit a New Assignment

Please take a minute and complete the below online form to provide our assignment coordinators the pertinent details regarding your matter. Please note, J.S. Held is not responsible for maintaining privacy of submitted information. Prefer to call or email your request? Click here for details.

Assignment Type
Is this an insurance related assignment?
Your Contact Information

Additional Information

Please provide a brief description of the matter and we will have a J.S. Held consultant contact you as soon as possible.*

What type of services are needed?

Describe the services needed below*

Loss Information
Loss Location(s)*
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Independent Adjusters
You can add up to 5 carriers on this form*
Assignment Contact(s)
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Project/Loss Information
Type of Loss*
Type of Review

Additional Project Details

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