If you are an existing client of ACD, please to your account before submitting an assignment.
Please DO NOT submit any supplements from this form. This form is for sending new claims to ACD for the first time. Supplements should be submitted here.
If you are an existing client of ACD, please to your account before submitting an assignment.
Please DO NOT submit any supplements from this form. This form is for sending new claims to ACD for the first time. Supplements should be submitted here.