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At Global Guardian Services, we’re committed to providing a fast, secure, and seamless claims process to support your needs. Submit your claim today, and we’ll connect you with our team of experts.

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Auto or Property Independent Adjuster Submit Proposal Special Investigation Unit

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Initial Information

Policy Number*

Date and Time of Loss*

Loss Location*

Loss City*

City*

State*

Zip*

Specialty Claim? (RV, Boat, ATV, Heavy Equipment)

Loss Description*

Were Police Called

Name of Department

Was a Ticket Issued

Insured/Policy Holder

Business or Policy Holder Name*

Phone

Email

Address Line 2

Address Line 1

City

State

Zip

Driver Information

Driver's First Name

Driver's Last Name

Driver's Home Phone Number

Driver's Work Phone Number

Driver's License Number

Injuries

Describe Injuries

Insured Vehicle Information

Make*

Model*

Year*

VIN*

Damage Description

Other Party Information

Name

Phone Number

Email Address

Address Line 1

Address Line 2

City

State

Zip

Claimant Vehicle Information

Make*

Model*

Year*

VIN*

Damage Description

Other Comments

Other Comments

Phone

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Assignment*

Standard Esimate

Heavy Equipment Estimate

Salvage Quote

Diminished Value

Subrogation Demand Review

Desk Review

Photos Only

CAT Assistants

Direct Report Network

Policy

Policy Number*

Date of Loss*

Loss City*

State*

Zip

Assignment Description*

Insured/Policy Holder

Business or Name*

Phone Number

Email

Cell Phone Number

Address Line 1

Address Line 2

City

State

Zip

Other Party Information

Business or Name*

Phone Number

Email

Cell Phone Number

Address Line 1

Address Line 2

City

State

Zip

Other Party Vehicle Information

Make*

Model*

Year*

VIN*

Damage Description

Policy Holder Vehicle Information

Make*

Model*

Year*

VIN*

Damage Description

Vehicle Location

Location Name

Address Line 1

Address Line 2

City

State

Zip

Additional Comments

Additional Comments

Phone

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Business Information

Name*

Email*

Phone Number*

Cell Phone Number

Fax Number

Assignment City

Address Line 1

Address Line 2

City

State

Zip

User Information

Name

Phone Number

Email

Line of Business

Other Comments

Other Comments

Email

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Contact Information

Name/Business*

Phone Number

Email

Cell Phone Number

Fax Number

Assignment City

Address Line 1

Address Line 2

City

State

Zip

Insured Information

Name/Business*

Phone Number

Email

Cell Phone Number

Address Line 1

Address Line 2

City

State

Zip

Other Party Information

Name/Business

Phone Number

Email

Cell Phone Number

Address Line 1

Address Line 2

City

State

Zip

Vehicle Information

Make*

Model*

Year*

VIN*

Damage Description

Surveillance Information

Claimant Name

Address Line 1

Claimant City

Address Line 2

City

Zip

Date of Birth

MM/DD/YYYY

Gender

Race

Height

Weight

Hair

Eyes

Driver's License Number

Description of Injury(ies)

Attorney Information

Name

Address Line 1

Address Line 2

Claimant City

State

Zip

Assignment

Recorded Statement

Assignment

Photos of claimant vehicle

Carfax

ISO

Police Report

Scene Investigation

Surveillance

Social Media

Asset Search

Motor Vehicle Search

Driver's License Search

License Plate Search

Locate a Carrier

Background Check

Criminal and Civil Investigations

Business/Corporate Searches

Skip Trace/Locate

Medical Canvasses

Vehicle Sighting Search

Social Security Verification

Collision Impact Study

Alive and Well Check

Other

Comments

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What We Do

Claims Administration

Special Investigations Unit

Independent Adjusting

24-Hour Call Center

Contact Us

Los Angeles Office:
9229 Wilshire Blvd, Suite 200, Beverly Hills, CA, 90210

New York Office:
16 Fair St, Carmel, NY 10512

[email protected]

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