Intermountain Claims, Inc.

Submit Assignments
Intermountain Claims can accept assignments the following ways:

Online Forms:
  Auto Assignment Form
  Liability Assignment Form
  Property Assignment Form

or:

E-Mail: claims@idahoic.com
Phone: 800-349-0373
Fax: 208-375-8905

You can utilize the numbers and email information above to send an assignment to any of our offices. We will internally route the assignment to the closest Intermountain location and will send you an acknowledgement of assignment listing our adjuster’s contact information.  If the assignment is out of our territory or will require travel pre-approval we will notify you immediately.

Service Territory
 See the Area Map of our service coverage.


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
  Auto Assignment Form

Adjuster Name
 
Insurance Company
 
Mailing Address
 
Building/Suite
City
 
State
 
Zip
 
Phone #
 
Fax #
E-Mail Address
DOL(mm/dd/yy)
 
Claim #
 
Policy #

 

  Insured Information

First Name
 
Last Name
 
Mailing Address
Building/Suite
City
State
Zip
Phone #
Fax #
E-Mail Address  
Year
Make
Model
VIN
Vehicle Location
Damage Description
Is the vehicle a total Loss? Yes No
CCC, ADP, or get Dealer Quotes?
Do you want us to phone in the evaluation? Yes No
Do you want us to move salvage? Yes No
If so, where to?
Name
 
Mailing Address
Building/Suite
City
State
Zip
Phone #

 
  Claimant Information

First Name
Last Name
Mailing Address
Building/Suite
City
State
Zip
Phone #
Fax #
E-Mail Address
Year
Make
Model
Vehicle Location
Damage Description
Is the vehicle a total Loss? Yes No
CCC, ADP, or get Dealer Quotes?
Do you want us to phone in the evaluation? Yes No
Do you want us to move salvage? Yes No
If so, where to?
Name
 
Mailing Address
Building/Suite
City
State
Zip
Phone #

 
  Instructions

Other Special Instructions
How do you prefer we return assignments to you?  Email, Mail, or Fax?