Submit an Assignment

Please provide the information request below to submit your task.

Also you can send us a new assignment through support@LXCEG.com

Date of Loss*
Month
Day
Year
Contact Information
Claim Number
Primary Contact Name*
First Last
Title*
Company*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Fax
Primary Contact Email*
Insureds Information

Additional site contact information may also be noted here.
Insureds Name
First Last
Insureds Phone
Additional site contact information as applicable
Billing Information

Please complete this section if billing information differs from the primary contact information noted above.
Billing Contact
Billing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Phone
Billing Email*
File Information

Please provide any special instructions and job request details in this section.
Loss Location*
Loss Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Scope of Work*
Email
Report Type
Send Report Via
Evidence

If evidence is being sent in conjunction with this assignment, please complete the following fields. Submission of evidence with this form, is an agreement between the submitting party named as the primary contact and LXC Engineer group that any such evidence is covered by LXC Engineer group Evidence Storage Agreement and Liability Statement which is available upon request.
Is evidence being sent with this assignment?
- Yes
- No
Attach evidence or other files needed for the assignment as needed.
Max. file size: 100 MB.
Evidence Submission Method
Evidence Disposition after Analysis/Examination
Evidence Details

If you want someone to reach you immediately or you want to speak to us immediately you may reach us at 1.800.xxx.xxxx or at support@LXCEG.com

If you do not receive an email confirmation within the hour, please contact us directly at 1.800.xxx.xxxx or at support@LXCEG.com.

Submit an Assignment

Please provide the information request below to submit your task.

Contact Information

Insureds Information

Billing Information

File Information

Evidence

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Where people come first