This Damage Claim Assignment is used to transfer title and interest in a damage claim
from the assignor to the assignee. This is often used to assign property damage claim
against another party or an insurance claim. It assigns a party's rights and interests in
a damage claim arising from an incident. The assignee may prosecute, collect, settle
and grant release on said claim and the assignor agrees to provide assistance. This
document should be used when assigning a damage claim.
DAMAGE CLAIM ASSIGNMENT
THIS ASSIGNMENT, made on this ______ day of ______, 20____, by and between
_______________________ (hereinafter referred to as "Assignor"), located at
______________________ and _____________________ (hereinafter referred to as
"Assignee"), located at _____________________________.
FOR GOOD AND VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
the Assignor and Assignee represent and agree as follows:
1. the Assignor does hereby convey, pass, and assign to the Assignee and its successors, assigns
and personal representatives, any and all claims, demands and cause of action which the
Assignor may have against ____________________, arising from the following:
2. The Assignor represents that the rights and interests of the above matter as being fully and
completely assignable. Further, the assignor guarantees that the above matter has not been
3. The Assignor agrees that the Assignee may prosecute, collect, settle, compromise and grant
release on the said claim and the Assignor additionally agrees to provide all reasonable
4. This Assignment shall be governed in accordance with the laws of the State of ________. Any
dispute, controversy or legal proceeding regarding this Assignment shall be resolved and
adjudicated in the Courts of the State of _________________.
IN WITNESS WHEREOF, this assignment has been duly executed by the Assignor and
Assignee the day and date first above written.
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