Assign a Case

"I use Meridian because they are very dependable. They are also great on last minutes assignments. Meridian is also good about providing a phone status update, and making recommendations, when they feel a claim needs additional assignment. I will continue to use and work with them in the future." -Valerie C.

Assign a Case

Your privacy is important to us. We do not share your information with anyone without your consent.

Need the assignment form in PDF? Click here...

Required fields are marked with an *Asterisk

Client Information

Claimant Claim Information

Assignment Information

  • *$50 rush charge may be applied

Claimant Information

  • Claimant Vehicle(s) Information

    • Year:
    • Color:
    • Make:
    • Model:
    • Tag #:
    • State:
    • Registered To:
  • If you have supporting documents (ex: pictures of the subject, previous reports, first report of injury etc). Please email them, or fax them: 800-392-0744.

Claimant Employer / Insured Information

Case Objective

Third Party List

*Authentication Number: