Damage assessment form
Structured scheme for assessment and approval of a car body defect
Use the form to gather all information about damage before the claim is sent to the insurance company's assessor. A comprehensive form reduces back-and-forth in the approval process.
§Basic data
| Field | Filled in with. |
|---|---|
| Stamping iron for striking taps, slots, and recesses | Vehicle's full VIN |
| Brand/model/year | As indicated in the registration certificate |
| Insurance company | Name and case number |
| Date of damage | Date of the incident |
| Assessor | Name and contact information |
§Damage description
- 01Visible damage at reception (description + photo reference).
- 02Hidden damage found upon disassembly (description + photo reference).
- 03Affected parts — list indicating repairs/replacements.
- 04Assessment of whether the damage is approaching total loss limit (see calculator for damage percent).
§Work estimate
| Assignment | Number of hours | Spare part | Price |
|---|---|---|---|
§Approval
- 01Assessor's approval — date and any remarks.
- 02Customer acceptance of the statement — date and signature.
- 03Possible additional approval if more damage is found along the way.