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 (at) 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.


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
  Liability 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  
Loss Location
Accident Description

 
  Claimant Information

First Name
Last Name
Mailing Address
Building/Suite
City
State
Zip
Phone #
Fax #
E-Mail Address
Witness Name
Witness Phone #

 
  Instructions

Other Special Instructions
Do you want us to take a recorded statement? Yes No
If so, who?
Scene Investigation? Yes No
Obtain Police report? Yes No
Police Dept.  Case #:
Auto Appraisal? Yes No  Which Vehicle?
Is the vehicle a total Loss? Yes No
Total Loss Instructions
CCC, ADP, or get Dealer Quotes?
Do you want us to move salvage? Yes No
If so, where to?
Name
 
Mailing Address
Building/Suite
City
State
Zip
Phone #
How do you prefer we return assignments to you?  Email, Mail, or Fax?