Assignment of Rights

Prime Consulting Assignment of Rights

Assignment of Rights Form
Insurance Company*
Claim Number*
Sometimes refered to as a File Number
To Whom It May Concern:

I do hereby exercise my "Motor Vehicle Appraisal Provision" for the claim number listed above. Furthermore, I assign and appoint Doug Begin of Prime Consulting Services LLC as my disinterested independent appraiser to represent my interests in the matter.
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Prime Consulting Assignment of Rights