Claims Bureau New England; Assign an investigation securely online

CLAIMS BUREAU NEW ENGLAND, INC.
PO Box 689, Bedford, MA 01730
Jerry@CB-NE.COM
Tel. 800.342.8877 Fax 800.257.3776
CASUALTY CLAIM FIELD INVESTIGATIONS

ASSIGNMENT FORM

Currently, we are updating our assignment form

on this web site; ClaimsBureauNewEngland.com.

We're sorry for this inconvenience.

Please click our secure form below:

CB-NE.com's Assignment Form

You can always get in touch with Jerry

by phone 800.342.8877,

by fax 800.257.3776

and by email: Jerry@cb-ne.com

Thank you for understanding.

Jerry

THE FORM BELOW IS UNDER CONSTRUCTION FOR SECURITY PURPOSES. PLEASE REDIRECT YOUR INQUIRY TO OUR OTHER SECURE WEB SITE: WWW.CB-NE.COM.

THANK YOU.

RUSH Needed by

INVESTIGATIONS: Auto, G.L., Comp., Liability, Subrogation

LOCATE   STATEMENT   SCAR PHOTOS
SCENE LOCUS   INTERROGATORIES
BAILMENT          PUBLIC RECORDS

OTHER

Other Investigation:

YOUR INFORMATION
Company
Name:
Telephone & Extension
E-Mail

Claim Number:
Insured's Name:
Date of Accident

SUBJECT #1:

Name:

Address:

City & State:

Tel. #:

DOB:

Lic No.:

SUBJECT #2

Name:

Address

City & State

Tel. #:

DOB

Lic No.:

Foreign Language

Subject Represented?

YES No

ATTORNEY INFORMATION

ADDITIONAL INFORMATION

Please fax or email supporting documents to

Jerry@cb-ne.com or FAX us at 800.257.3776

Thank You
For assigning an investigation to
Claims Bureau New England, Inc.

We will be in touch with you shortly.

Jerry Mulcahy 800.342.8877

ASSIGN INVESTIGATION

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