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Subrogation Only
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About
Subrogation Only
Conflict Free Representation
Trial Experience
New Loss Investigation
Subrogation Areas
Large Loss Property Subrogation
Small Property Losses
Workers’ Compensation
Mass Torts
Product Failures
Catastrophic Events
Resources
Blog
Attorneys
Events
Contact Us
Report a New Loss
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Report New TOP Loss
Please complete the form below:
Referring Insurer
Adjuster's First Name*
Adjuster's Last Name*
Adjuster's Email Address*
Adjuster's Phone Number
Independent Adjuster's First Name
Independent Adjuster's Last Name
Independent Adjuster's Email Address
Independent Adjuster's Phone #
Type of Loss
Fire
Water
Collapse
Explosion
Theft
Vandalism
Other
Date of Loss (mm/dd/yyyy)
Loss Amount
Insured
Loss Location
Claim Number
Insured Contact Name
Insured Contact Phone Number
Cause & Origin Expert Retained?
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Name of Retained Expert
If applicable, are we authorized to retain a Cause & Origin Expert?
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No
Loss Details
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