Assignment of a Claim for Damages

An Assignment of a Claim for Damages sample form – Use this form to complete correspondences between involved parties to assign proper claim 

for damages to property and wares.

Damages are incidents that will be impossible to avoid, simply impossible.

Or at least they are common enough to warrant need of such a form.

Keep a good template around for just this circumstance and not be fussed about how to claim damages.

Having a sample form such as this one ready to deploy when necessary will save you frustration and unnecessary future complications.


FOR VALUE RECEIVED, the undersigned hereby sells and transfers to _, [Assignee] and its successors, assigns and personal representatives, any and all claims, demands, and cause or causes of action of any kind whatsoever which the undersigned has or may have against _, arising from the following type claim: ______________________________________________________________



And the undersigned may in its own name and for its own benefit prosecute, collect, settle, compromise and grant releases on said claim as it in its sole discretion deems advisable.

Signed under seal this ___ day of _______, 20__.


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