Assign a Claim To help service you better, please give as much information below as possible. Required fields marked with an asterisk * Client Information Adjuster Email * Adjuster Name * Adjuster Phone * Extension Adjuster Fax PDA Client Branch * Select... -- Not Listed -- General Claim Information Business Group * Select... Automobile Personal Motor Vehicle Heavy Equipment-OTR Specialty Off Road Recreational Vehicle Marine Property Other Business Line * Select... Service Type * Select... Peril Select... Claim Number * Policy Number Coverage in Question? * Yes No N/A Ok to Release Estimate? * Yes No N/A Are there possible additional exposures (damaged properties) involved in this claim that you would like PDA to inspect/investigate? * Yes No Owner Information Insured First Name Insured Last Name Claimant First Name Claimant Last Name Email Cell Phone Home Phone Work Phone Extension Address City State AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MS MT MX NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE PR QC RI SC SD SK TN TX UK UT VA VI VT WA WI WV WY ZIP Code Location Information Location Type * Owner (See Vehicle Owner Information) Facility (Body Shop/Tow Yard) Other Date of Loss Deductible Service Level Name Eligibility (Click eligibility to view details) Base Pricing Guaranteed Delivery By Specialty/Heavy Equipment Same-Day Service Not Eligible $ 840.00 / hour Property Same-Day Service Not Eligible $ 917.00 / hour PDA Auto Same-Day Service Not Eligible $ 392.00 PDA Auto Next-Day Service Not Eligible $ 341.00 PDA Standard Service Notes/Damage Description Attachments Files must be no larger than 20MB and must have one of the following extensions: .bmp, .doc, .docx, .ems, .jpg, .jpeg, .mie, .pdf, .png, .tiff, .txt, .xls, .xlsx, .zip Assigning a file to PDA indicates via terms and conditions that the location and related contact information for the unit and/or property to be inspected has been verified and that all fees including mileage is pre-approved on this assignment and/or any other assignment sent via the PDA Web Page, Client Portal, through integration methods, and/or Manual (i.e. email & phone). www.pdacorporation.com/TermsOfService © 2021 PDA Corporation All rights reserved Facebook Twitter LinkedIn