Client Information Formadmin2024-09-23T14:18:55+00:00 Fill out this form to start your appraisal process. We will get right back to you! Vehicle Specifications: Year Make Model Body Style Trim level V.I.N Odometer Colour Engine Transmission Brand Registered Owner Phone Number Home Address Email Address Adjusters Email Additional Equipment/ Recent repairs or service completed Claim Number Date off Loss if applicable Condition Report: (Vehicle Grading Scale from 1-5) (1=Worst - 5 =Best) Interior: Gauges Sunroof Seats Headliner Door panels Seat belts Dash Window tints Floor Visors Radio Console/Arm rest Glove box Upholstery Exterior: Rims Weather stripping Hood Body Panels Glass Doors Mirrors Bumpers Headlights Brake lights Rust Chrome finishes Paint Condition Stone chips/Scratches/Dents Tires Brakes Exhaust Condition (Notes): Add Pictures Add Documents Date Consent agreement: I agree that all facts and data provided are true and accurate to the best of my knowledge. I agree that the author has no present or prospective interest in the vehicle that is the subject of this report, and the author has no personal interest or bias with respect to either the vehicle or the parties involved. All information I have provided was correct and to be used in the report preparation. I consent to the use of my personal information and digital images to be used in the appraisal. I agree that the intended use of the completed appraisal is limited for insurance valuation only. The report must be used in its entirety only and is not intended for any other use or distribution beyond the registered owner and his / her insurer. Send
