Submit Claim

Start your claim with Sumitt Adjusting. Fill out the form below, send an email to , or use XactAnalysis. We will review and assign your request promptly. Our goal is to deliver fast, accurate assessments with clear communication every step of the way.

Contact Information

First Name

Last Name

Company

Address

City

State

Zip

Phone

New Assignment Information

Your Claim # Assignment Instructions

Insured's Information

First Name

Last Name

Company

Policy #

Phone

Address

City

State

Zip

Mortgagee

Claimant Information (if applicable)

First Name

Last Name

Address

City

State

Zip

Phone

Agent Information

First Name

Last Name

Company

Phone

Address

City

State

Zip

Country

Loss Information

Address

City

State

Zip

Date of Loss

Type of Loss

Unit

Type of Adjustment

Loss Description

Vin #

Deductible

Wind Deductible

Endorsements