Property Subrogation Assignment

Please submit as much of the following information currently known for all subrogation matters (time is of the essence, thus partial information is acceptable):

If after hours or urgent, call, text, or email directly:

Anthony Antonellis, Senior Partner at Sloane and Walsh
aantonellis@sloanewalsh.com
Direct Line: 857-321-7007
Mobile: 617-593-6700

Michael Antonellis, Partner at Sloane and Walsh
mantonellis@sloanewalsh.com
Direct Line: 857-321-7054
Mobile: 508-614-8057

We will confirm receipt within 24 hours. If you have not received a confirmation email, please contact Ann Piazza at apiazza@sloanewalsh.com

PURE Subrogation Portal

Date of Loss

Estimated Damages

Under $250,000

Over $250,000

Claim No.

PURE Representative

First Name

Last Name

Representative Phone

Representative Email

____________________________________

Insured's Full Name (First name/last name)

Insured's Phone

Insured's Email

Potential responsible party or parties (adverse party):

Address of Loss (street address):

City

State

Zip Code

Type of Loss

Fire

Water

Other

____________________________________

If there has been an expert assigned, please provide:

Expert Name

First Name

Last Name

Expert Phone

Expert Email

Any additional information you want to share:

If you are human, leave this field blank.

Please send your complete claims file to apiazza@sloanewalsh.com.