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Pro Services
Pro Inspections
Pro Appraisals
Pro Claims
Pro Consumer
Pro Finance
Pro Specialty
Pro Expert Witness Services
Opportunities
Contact
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Claims Form
CLAIMS & INspections
1
Vehicle Info
2
Exterior
3
Interior
4
Mechanical
5
RV
6
Road Test
7
Tires
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Agent First Name:
Agent Last Name:
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Year
Please enter a number from
1900
to
3000
.
Make
Model
VIN
Stock No.
Mileage
Fuel Type
Gasoline
Electric
Diesel
Hybrid
Compressed Natural Gas/Other
N/A
Transmission
Automatic
Manual
Direct Shift - CVT
Triptronic
N/A
Drive Type
Front Wheel Drive
Rear Wheel Drive
Four Wheel Drive
All-Wheel Drive
N/A
Engine Size
2 Cylinder
3 Cylinder
4 Cylinder
5 Cylinder
6 Cylinder
7 Cylinder
8 Cylinder
10 Cylinder
12 Cylinder
Rotary
N/A
Interior Color
Exterior Color
Interior Material
Cloth
Leather
Leather blend
Vinyl
Other
N/A
Summary
Back-up camera
Good
Issues
N/A
Issue
Wiper blades
Good
Issues
N/A
Issue
Windshield Washer
Good
Issues
N/A
Issue
Body alignment
Good
Issues
N/A
Issue
Scratches
Good
Issues
N/A
Issue
Dings
Good
Issues
N/A
Issue
Dents
Good
Issues
N/A
Issue
Paint condition
Good
Issues
N/A
Issue
Frame damage
Good
Issues
N/A
Issue
Rust
Good
Issues
N/A
Issue
Exterior lights
Good
Issues
N/A
Issue
Sunroof
Good
Issues
N/A
Issue
Door mirrors
Good
Issues
N/A
Issue
Bumpers
Good
Issues
N/A
Issue
Side moldings
Good
Issues
N/A
Issue
Convertible top
Good
Issues
N/A
Issue
Body seals
Good
Issues
N/A
Issue
Glass
Good
Issues
N/A
Issue
Steering wheel
Good
Issues
N/A
Issue
Sun visors
Good
Issues
N/A
Issue
Horn
Good
Issues
N/A
Issue
Cruise control
Good
Issues
N/A
Issue
Seat conditions
Good
Issues
N/A
Issue
Heated seats
Good
Issues
N/A
Issue
Seat belts
Good
Issues
N/A
Issue
Clock
Good
Issues
N/A
Issue
Radio/Nav
Good
Issues
N/A
Issue
Inner door panels
Good
Issues
N/A
Issue
Interior trim
Good
Issues
N/A
Issue
Power locks
Good
Issues
N/A
Issue
Window switches
Good
Issues
N/A
Issue
Window function
Good
Issues
N/A
Issue
Center console
Good
Issues
N/A
Issue
Dash
Good
Issues
N/A
Issue
Dash lights
Good
Issues
N/A
Issue
Air conditioning
Good
Issues
N/A
Issue
Heater
Good
Issues
N/A
Issue
Rear defroster
Good
Issues
N/A
Issue
Carpet
Good
Issues
N/A
Issue
Floor mats
Good
Issues
N/A
Issue
Cigarette use
Good
Issues
N/A
Issue
Unusual odors
Good
Issues
N/A
Issue
Cup holders
Good
Issues
N/A
Issue
Headliner
Good
Issues
N/A
Issue
Blower motor
Good
Issues
N/A
Issue
Dash guages
Good
Issues
N/A
Issue
Air filter
Good
Issues
N/A
Issue
Battery condition
Good
Issues
N/A
Issue
Charging system
Good
Issues
N/A
Issue
Cooling fan condition
Good
Issues
N/A
Issue
Radiator cap sealing
Good
Issues
N/A
Issue
Hoses
Good
Issues
N/A
Issue
Radiator
Good
Issues
N/A
Issue
Engine coolant
Good
Issues
N/A
Issue
Coolant leaks
Good
Issues
N/A
Issue
Belts
Good
Issues
N/A
Issue
Power steering
Good
Issues
N/A
Issue
Steering fluid
Good
Issues
N/A
Issue
Engine oil
Good
Issues
N/A
Issue
Engine fluid leaks
Good
Issues
N/A
Issue
Transmission fluid
Good
Issues
N/A
Issue
Transmission leak
Good
Issues
N/A
Issue
Brake system
Good
Issues
N/A
Issue
Brake fluid leak
Good
Issues
N/A
Issue
Transfer case leak
Good
Issues
N/A
Issue
Differential leak
Good
Issues
N/A
Issue
Muffler syustem
Good
Issues
N/A
Issue
CV joint and axles
Good
Issues
N/A
Issue
Shocks and bushings
Good
Issues
N/A
Issue
Ball joints and tie rods
Good
Issues
N/A
Issue
Key fob
Good
Issues
N/A
Issue
Refrigerator
Good
Issues
N/A
Issue
Stove
Good
Issues
N/A
Issue
Microwave
Good
Issues
N/A
Issue
A/C system
Good
Issues
N/A
Issue
Furnace
Good
Issues
N/A
Issue
Faucets
Good
Issues
N/A
Issue
Black water tank
Good
Issues
N/A
Issue
Gray water tank
Good
Issues
N/A
Issue
Water leaks
Good
Issues
N/A
Issue
Water heater
Good
Issues
N/A
Issue
Bathrooms
Good
Issues
N/A
Issue
Bedrooms
Good
Issues
N/A
Issue
Lighting
Good
Issues
N/A
Issue
Generator
Good
Issues
N/A
Issue
Slide outs
Good
Issues
N/A
Issue
Awning
Good
Issues
N/A
Issue
Was a road test performed?
Yes
No
Reason that road test was not performed:
Engine starting
Good
Issues
N/A
Issue
Engine performance
Good
Issues
N/A
Issue
Transmission performance
Good
Issues
N/A
Issue
Clutch performance
Good
Issues
N/A
Issue
Differential performance
Good
Issues
N/A
Issue
Transfer case performance
Good
Issues
N/A
Issue
Wheel bearing performance
Good
Issues
N/A
Issue
Braking performance
Good
Issues
N/A
Issue
Suspension performance
Good
Issues
N/A
Issue
Steering performance
Good
Issues
N/A
Issue
Tire Pressure System (TPMS)
Good
Issues
N/A
Issue
Computer diagnosis/OBD2
Good
Issues
N/A
Issue
Spare tire
Yes
No
Drivers front tire
Manufacturer
Size
Tread
Tire Condition
Wheel Condition
Passenger's front tire
Manufacturer
Size
Tread
Tire Condition
Wheel Condition
Driver's rear tire
Manufacturer
Size
Tread
Tire Condition
Wheel Condition
Passenger's rear tire
Manufacturer
Size
Tread
Tire Condition
Wheel Condition
Dually?
Driver's 1st axle outer tire
Manufacturer
Size
Tread
Tire Condition
Wheel Condition
Driver's 1st axle inner tire
Manufacturer
Size
Tread
Tire Condition
Wheel Condition
Passenger's 1st axle outer tire
Manufacturer
Size
Tread
Tire Condition
Wheel Condition
Passenger's 1st axle inner tire
Manufacturer
Size
Tread
Tire Condition
Wheel Condition
Does it have more than 2 axels?
Driver's 2nd axle outer tire
Manufacturer
Size
Tread
Tire Condition
Wheel Condition
Driver's 2nd axle inner tire
Manufacturer
Size
Tread
Tire Condition
Wheel Condition
Passenger's 2nd axle outer tire
Manufacturer
Size
Tread
Tire Condition
Wheel Condition
Passenger's 2nd axle inner tire
Manufacturer
Size
Tread
Tire Condition
Wheel Condition