Skip to content
Total Loss Claim Hotline
(877) 667-2326
Message us on
Whatsapp
Order Appraisal
Free Claim Review
Home
About & More
Total Loss Explained
Insurance Claim Review
Blog
FAQ’S
Solutions & Pricing
Contact Us
Menu
Home
About & More
Total Loss Explained
Insurance Claim Review
Blog
FAQ’S
Solutions & Pricing
Contact Us
Search
Search
Close this search box.
Total Loss Appraisal Order Form
Please fill out the form below. You will receive your appraisal report within 24 business hours.
Name
Email
Phone
File Upload
Drop files here or
Select files
Max. file size: 64 MB.
Please upload the vehicle valuation report provided by the insurer. If you have additional information (pictures, repair bills, upgrades) you’d like to submit, please attach that documentation as well. If your valuation report is in paper format, please fax that document to 678-868-1832.
Assignment Notes
Enter special instructions or comments to our appraiser.
Appraisal Requested
Desk Appraisal
Field Appraisal
Claim Settlement
Inspection Location
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Total
$0.00
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
Expiration Date
Security Code
Cardholder Name
Terms of Service
I have read and agree with the terms of service listed above and I am aware that there are no refunds allowed on appraisals. I am also aware that there will be an additional charge for claim settlement and that the final award may be different than the appraised value.
Phone
This field is for validation purposes and should be left unchanged.
