Submit an Assignment

Please complete the form below to request Hudson International’s Services. We will respond promptly to your request.

If you would like to contact our office immediately regarding your specific claim, please call 1-800-735-0030.

Name(Required)

First Last

Title/Position

Company Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone

Fax

Claim/File Number

Insured

Date of Loss

Loss Location

General Case Information

Instructions

Report Type(Required)

via Email

Verbal

Written

Hardcopy

Report To(Required)

You

Other

Report Contact Information

Please provide the contact information for the person to whom the report should be sent.

Report Recipient Name

First Last

Report Recipient Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please provide address information for where you would like the report

Invoice To(Required)

You

Other

Invoice Contact Information

Please provide the contact information for the person to whom the invoice should be sent.

Invoice Recipient Name

First Last

Invoice Recipient Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name

This field is for validation purposes and should be left unchanged.

Eastern PA / Home Office

800-735-0030
610-975-4600

Western PA

800-735-0300

New York

845-341-1641

Florida

352-358-1605

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Consultants and Engineers

Call: 800-735-0030