Claim Assignments – Tenco Services, Inc.

Complete the appropriate claim assignment form below!

After you submit a new claim, you will receive an acknowledgement of assignment within 24 hours containing our file number, contact information for the assigned adjuster, and abbreviated loss information for your file.

Type of Claim (choose one):

Assigning Company Information:

Assigning Company Name:(Required)

Phone #:(Required)

Report to:

Name:(Required)

Email:(Required)

Company Mailing Address:

Mailing Address: City: State: Zip Code:

Loss Information:

Date of Loss:

Claim #:(Required)

Policy #:

Insured Information:

Insured Name:(Required)

Phone #:(Required)

Email:

Insured Address:

Address: City: State: Zip Code:

Loss Location:

Address: City: State: Zip Code:

Claimant Information:

Claimant Name:(Required)

Phone #:(Required)

Email:(Required)

Claimant Address:

Street Address: Address Line 2: City: State: Zip Code:

Description of Loss:

Upload Additional Documents

Drop files here or

Max. file size: 300 MB.

Alternatively you can send your assignment instructions and documentation to claims@tenco.com or call (615) 292-0098 to speak with someone directly who will take the assignment information over the phone for you!

615-292-0098 CLAIMS@TENCO.COM

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