Mid-State Claims Service, Inc. will accept assignments via the internet through our online forms listed below:
Property Claim
Use this form to provide information specific to property assignments. You may also use this form for liability assignments involving property owned by third parties. Upon receipt of this type of assignment we will submit a confirmation acknowledging receipt of the form and verifying contact with the property owner.
Auto Claim
Use this form to provide information specific to automobile and equipment assignments. This form can also be used when submitting liability assignments involving vehicles or equipment owned by third parties. Upon receipt of this type of assignment we will submit a confirmation acknowledging receipt of the form and verifying contact with the vehicle or equipment owner.
Investigation Assignment Form
Use this form to provide information specific to assignments involving investigation activities. Generally we will contact you upon receipt of this type of assignment for a brief discussion before taking any action.

