



| Illinois Claim Service, Ltd. 115 Commerce Drive -|- Grayslake, IL 60030 Phone: 847.223.9511 -|- Fax: 847.223.9537 Toll Free: 866.223.9511 |
| Submit a Claim Assignment Online The Assignment Submission Form will open in a new window after you click "Submit Assignment". Fill in as much detail as possible and click "Save Assignment" at the bottom of the submission page. Please contact us if you have any questions or require assistance. |