Case Intake Form

Submit your vehicle accident and insurance details to begin your diminished value appraisal.

Who is submitting?

I am a…

Contact Information

Full Name *

Email *

Phone

Insurance & Claim Info

Insurance Company

Claim Number

Were you at fault?

Vehicle Information

VIN *

Year

Make

Model

Trim

Mileage at Time of Accident

Clean title?

Prior accidents?

Accident & Damage Details

Date of Accident

Estimated Repair Cost ($)

Structural damage?

Airbags deployed?

Documents & Photos

Repair EstimateClick to upload

Vehicle PhotosClick to add photos

Report Type

Select Report *

Standard Report$395Comprehensive Report$595

Optional Add-OnAdd Claim Submission Kit+$95

Includes client submission instructions, a ready-to-send claim email template, and an organized supporting file package.

Acknowledgment

I certify that the information provided is accurate to the best of my knowledge and authorize Precision DV Consultants to use it to prepare a diminished value appraisal report.