Right to Appraisal Documentation Packet
Right to Appraisal Documentation Packet
Estimator packet for compiling photos, OEM procedures, line-item justifications, and supporting evidence to document a collision repair appraisal-clause request.
Claim and Vehicle Identification
- Claim Number
- Repair Order Number
- Vehicle Year
- Vehicle Make
- Vehicle Model
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VIN Last 8 Characters
Use only the last 8 characters to minimize PII exposure.
Appraisal Request Summary
- Request Date
- Dispute Type
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Summary of Dispute
Briefly describe the disputed items and why the current estimate does not reflect the repair requirements.
- Insurer Position Received?
OEM Procedures and Technical Support
- Does an OEM procedure or bulletin support this request?
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OEM Procedure / Bulletin Reference
Include the document title, section, or bulletin number if available.
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OEM Procedure Summary
Summarize the specific repair steps, measurements, or replacement requirements that support the dispute.
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Attach OEM Procedure or Bulletin
Upload the relevant OEM document, if available.
Line-Item Justification
- Disputed Line Items
- Estimate Basis
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Repair Rationale
Explain how the disputed items relate to safe, complete, and proper repair.
Photo and Evidence Index
- Photo / Evidence Index
- Evidence Types Included
- Additional Notes
Submission and Authorization
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Packet Complete
Confirm the packet includes the minimum necessary documentation and supporting evidence.
- Prepared By
- Prepared By Title
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I confirm this packet is accurate and ready for submission.
By submitting, you confirm the information is accurate to the best of your knowledge and will be retained in the claim audit trail.
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