INSPECTION ASSIGNMENT

This assignment is being made to conduct an Inspection of a business location. Our office will do a visit to the location, drop off a letter prepared by the client. We will also photograph the location and make a complete Inspection of the premises.

Date of Assignment:

Insurance Company Name:

Insurance Company Telephone Number:
Ext:
Adjuster's Name:

Adjuster's E-Mail address:

Adjusters Company File Number:




Company to be Checked:

Company Description:

Contact Person:

Street Address:

City:

State:

Zip Code:

Telephone:


Additional Information about the case:


Rush: Normal:



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