Upload Image Form

Broker batch date/ID:
SLA batch number :
Item number :
Page number : (optional)
Page count : (optional)
Upload image :

Please identify the Batch for this image upload by entering either the Broker Batch Date and Id or the SLA Batch Date and Number. The Item number is required and should match the number of the item on the batch cover sheet. Images for documents related to the entire batch or for non-premium endorsements that are included in the batch, but not listed on the batch cover sheet should be submitted with Item Number 0. Page Count is only applicable to multipage image formats. If the image does contain multiple pages, Page Number should specify the number of the first page in the uploaded file.