Give us an Assignment Home > Give us an Assignment FEEDBACK FORM "GIVE US AN ASSIGNMENT HERE" 1. Policy No. : 2. Nature Of Loss : 3. Insured : 4. Address : 5. Contact Person : 6. E-mail : 7. Contact Tel. No : 8. Address of Survey : 9. Type of property / vehicle no. : 10. Sum Insured : 11. Excess : 12. Estimate of Loss : 13. Person Giving Assignment : 14. Company : 15. Specific Instructions : We will be in touch with you as soon as progress on the matter has been achieved. Thank you. We have developed the web site to enable you to gain access to our database which contains the present status of all outstanding matters previously assigned by you. If you have not be given a username and password or if you have lost them, please email firstname.lastname@example.org.