Send us a Claim or Assignment – Pineapple Insurance Adjusters

Send us a claim or assignment by filling in the form below. Once received we will assign it to one of our adjusters and they will get in contact with you to confirm the loss.

Send Us a Claim or Assignment

Fields marked with an * are required

Your Company's Name *

Adjuster's Name *

Adjuster's Email *

Adjuster's Phone *

Your Claim Number *

Your Policy Number *

Policy Period Start Date *

Policy Period End Date *

Is coverage confirmed? *

Date of Loss *

Loss Description *

Loss Address *

Loss City *

Check what you need from us *

Estimate of First Party damages
Estimate of Third Party damages
Auto liability investigation
General liability investigation
Homeowners/Renters liability investigation
Photos (damages, scene/site)
Official report of our findings
Recorded statements

Any additional information we should know about this claim or assignment?

Your Policy Holder's Name *

Your Policy Holder's Phone *

Your Policy Holder's Email

Please email any Acords or attachments to info@pineappleinsuranceadjusters.com