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Description of assignment(s)
Your Name
Email (required)
Phone No (required)
Your Company
Company Addess (required)
City (required)
State (required)
Zip Code
Date of Incident
Location of Incident
Claim Number
Assignment Notes
Incident Description
Insured/Your Client Name (required)
Insured/Your Client Address (required)
Insured/Your Client City (required)
Insured/Your Client State (required)
Insured/Your Client zip (required)
Insured/Your Client phone
Insured/Your Client E-mail
Claimant Name
Claimant Address(required)
Claimant City
Claimant State
Claimant Zip
Claimant Phone
Claimant E-mail
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You can send assignments via email to assignments@wilshireclaims.com or via fax to (818) 452-5593.Please call us at (818) 322-0556 concerning any questions about sending assignments or our services.