Assignment Request Form Request Date Type of Inspection Premium InspectionEconomy InspectionLadder AssistDesaturationReinspectRoof Diagram Only (no inspection) Adjuster Name * Adjuster Phone Number Adjuster Email * Insurance Company Claim Number Insured Name * Insured Street Address Insured City Insured State Insured Zip Will you provide permission to AAA Roof Technologies to text the insured at the number(s) provided? Permission to Text Insured Yes - Okay to Text InsuredNo - Do not Text Insured Insured Phone Number 1 Insured Phone Number 2 Insured Email Notes Note Files To upload Wait 15-20 before resubmitting, you should see a green box if the assignment went though.
