AUTO HEAVY EQUIPMENT APPRAISAL FORM

DATE:
CLAIM NUMBER:	APPRAISER:
VEHICLE OWNER:	CLAIM REP:

REPAIRABLE	TOTAL LOSS
GROSS APPRAISAL:	NET ACV:
LESS DEDUCTIONS: -	TAX: +
-	DED: -
DEDUCTIBLE: -	TOTAL:
TOTAL:
DRIVABLE: YES NO	SALVAGE MOVED: YES NO
AGREED PRICE: YES NO	SALVAGE POOL:
DAYS TO REPAIR:	STOCK #:
SALVAGE VALUE: Auto Salvage not moved? Secure value from Salvage Vendor IAA at 855-336-2078.

CLOSING REPORT:
STATUS REPORT:
COMMENTS: