Repair / Total Loss Determination Guide

Header Information

Claim #

Ins Co

Owner

Vehicle

Report Completed by

Date Inspected

Inspection Details

ADJ. EST.	%	ACV
ESTIMATE + Tax:		ACV:
SUPPLEMENT POTENTIAL:		SALVAGE RECOVERY / PROQUOTE:
With Supplement Potential:	0%	With Salvage Recovery:
PROJECTED REPAIR COST:	0%	PROJECTED TOTAL LOSS COST:

Comments about Values

Recovery Ratio Based on Salvage:

Loss Ratio Based on Estimate:

Value Comments

NADA Average	CCC Request Number	ACV

ProQuote

Estimate Comments

Vehicle Location

Vehicle Located at

Phone

Address

City

State

ZIP Code

Email

Salvage Bids

Bidder Name	Contact Name	Phone	Bid Amount

Formatted Summary