Submit a New Property Claim
  • Please provide as much information about the claim as possible
  • If you do not have the information for a required field, please enter
    "unknown"
DOL (mm/dd/yyyy)    Claim/file #               Policy #
Description of Loss/Peril                   General Assignment Instructions
First Name              Last Name
Mailing Address                             Building/Suite #
City                                State            Zip
Phone #              Fax #                    E-mail
Insured First Name             Middle                Last Name
Address 1                                         Address 2
City                                 State           Zip
Phone #              Fax #                   Other #
Limit             Deductible    Coinsurance        Forms
Other Coverage Instructions            Other Insured Information
Agent First Name                 Middle                Last Name
Address 1                                        Address 2
City                                State            Zip
Phone #              Fax #                    Other #
Instructions/Other Information Regarding The Agent
Please use the following section for identifying additional parties to the
loss, such as eye-witnesses, police officers, attorneys, etc.
(Not Required)
First Name                            Middle                Last Name
Address 1                                         Address 2
City                                State             Zip
Phone #              Fax #                    Other #
T-N-T Claims and Consulting Services
619-444-9079
619-444-8849
Comments or questions about this site:
Email: justin@tntclaims.com
T-N-T Claims and Consulting Services
Claim Details and Assignment Type
CAT Code
Type of Property Involved
Residential
 Commercial
 Industrial
Client Information/Reporting Address
Client Company Name
Insured Name and Contact Information:
Company Name
Policy Information and Coverage Details
Coverage A
Coverage B
Coverage C
Coverage D
Other
Agent Information
Agency/Broker Company Name
Information On Other Parties
Claimant
 Witness
 Other
Additional Party #1
Company Name
Additional Information/Special Instructions
Confirm Assignment Receipt
Claimant
 Witness
 Other
Report Within
1-3 Days
 3-7 Days
 7-15 Days
 15-30 Days
Final Comments