Diminished Value Appraisal Documentation Form

Estimator form for documenting pre-loss and post-repair vehicle value, repair context, and supporting evidence for a diminished value claim.

Claim and Vehicle Identification

• Claim Number
• Repair Order Number
• Vehicle Identification Number (VIN)
  Enter the 17-character VIN exactly as shown on the vehicle or registration.
• Year, Make, and Model
• Customer Name
• Date of Loss

Pre-Loss Value Basis

• Pre-Loss Value
  Enter the vehicle's market value before the loss.
• Pre-Loss Value Source
• If Other, describe the source
• Pre-Loss Condition Notes
  Briefly note mileage, prior damage, options, or condition factors used in the valuation.

Repair Scope and Post-Repair Condition

• Repair Completion Date
• Repair Categories
• If Other, describe the repair category
• Post-Repair Condition Summary
  Summarize the repaired condition, including any visible evidence of repair or remaining concerns relevant to value.

Post-Repair Value and Diminished Value Calculation

• Post-Repair Value
  Enter the estimated market value after repairs are completed.
• Valuation Method
• If Other, describe the valuation method
• Diminished Value Amount
• Calculation Notes
  Add any assumptions, adjustments, or limitations that affect the calculation.

Supporting Evidence and Authorization

• Supporting Documents
  Upload valuation reports, repair photos, estimate pages, or other supporting evidence.
• Submission Purpose
• If Other, describe the purpose
• Attestation