Welcome to SDII Global Corporation's Claim Assignment Web Page, where you are reminded that there is never a need to wait longer than 30 days for your next report. To assign us with an investigation on one of your current claims, please fill out the following referral form and click the submit button. You will receive a confirmation email or phone call to let you know that we have received your assignment and are moving forward with the investigation.

Property/Insured Information

Loss Location Address		City
State		Zipcode
Insured's Name		Claim Number
Insurance Company		Policy Number
Onsite Contact Name		Onsite Contact Phone
Rental Property?	Yes No	Commercial Property?	Yes No

Scope of Work Requested

Client Information

Client Company Name		New Client?	Yes No
Client Company Address		City
State		Zipcode
Client Contact Name		Client Contact Phone
Client Contact Fax		Client Contact Email

Bill To Information

Check this box if same as above

Bill To Name		Bill To Contact Name
Bill To Address		City
State		Zipcode
Bill To Phone