Tenco Services, Inc. - Nashville - Main Office
Vehicle Appraisal
Please provide as much information about the claim as possible
Required fields are marked by the
*
symbol and a yellow background.
If you do not have the information for a required field, please enter "unknown"
Claim Details and Assignment Type
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Loss Date
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Claim #
Policy #
Insured First Name
Insured Last Name
Insured Telephone
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Brief Description of Loss
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General Assignment Instructions
Client Information/Reporting Address
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Client Company Name
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First Name
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Last Name
Mailing Address
Building/Suite
City
State
Zip
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Phone #
Fax #
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E-Mail
Vehicle #1 Informtion
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Owner of Vehicle 1
Insured
Claimant
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Owner's First Name
Middle
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Last Name
Company Name
Address 1
Address 2
City
State
Zip
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Phone #
Other Phone #
Fax #
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Location/POI/Damage
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Notes/Special Instructions
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Vehicle Type
1) Heavy Equipment
2) Tractor Trailer
3) Recreational Vehicle
4) Transit Vehicle
5) Farm Equipment
6) Earth Moving Equip
7) Motorcycle
8) Large Truck
9) Light Truck
10) Passenger Auto
11) Watercraft
12) Other
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Vehicle Make
1) Acura
2) Audi
3) BMW
4) Buick
5) Chevrolet
6) Chrysler
7) Dodge
8) Eagle
9) Ferrari
10) Fiat
11) Ford
12) Freightliner
13) General Motors
14) Honda
15) Hyundai
16) Infiniti
17) Isuzu
18) Jaguar
19) Jeep
20) Kenworth
21) Kia
22) Lamborghini
23) Land Rover
24) Lexus
25) Lincoln
26) Lotus
27) Mack Truck
28) Maserati
29) Mazda
30) Mercedes-Benz
31) Mercury
32) Mitsubishi
33) Nissan
34) Oldsmobile
35) Paccar
36) Peterbuilt
37) Plymouth
38) Pontiac
39) Porsche
40) Peugeot
41) Renualt
42) Rolls Royce
43) Saab
44) Saturn
45) Subaru
46) Suzuki
47) Toyota
48) Volkswagen
49) Volvo
50) Other
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Color
1) Black
2) Blue
3) Brown
4) Biege
5) Green
6) Gray
7) Orange
8) Pink
9) Purple
10) Red
11) Silver
12) Tan
13) Yellow
14) White
15) Other
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Yr
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Model
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VIN
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Plate
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Driveable?
Yes
No
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Are there additional vehicles to report?
Yes
No
