Submit an Assignment

To submit an assignment, please use the form below, or email the assignment requests and pertinent information to reports@ursusengineering.com.

You will receive an acceptance email in addition to a confirmation email post submission. If you do not receive the acceptance email within 8 hours of submission, during regular business hours, please call our office at (207) 216-5320.

Client/Assigner Information

Assigner's Name

First Name

Last Name

Assigner's Email

Assigner's Phone

(###)

###

####

Assigner's Company

Insurance Carrier

Claim/Reference Number

Insured Information

Insured's Name

First Name

Last Name

Site Contact Name (if different than above)

Insured/Site Contact Phone

(###)

###

####

Insured/Site Contact Email

Date of Loss

YYYY

Address of Risk Location

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Assignment Instructions

Describe the Services needed

Submit an Assignment

General Inquiries

Submit an Assignment