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Run: Total Loss Identification Worksheet

Use this worksheet to compare a vehicle's repair estimate against its actual cash value and the applicable state total loss threshold. It helps estimators fl...

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Vehicle and Claim Identification

Claim Number (required)

Vehicle Identification Number (VIN) (required)

Year / Make / Model (required)

Date of Loss (required)

State (required)

Valuation and Estimate Inputs

Actual Cash Value (ACV) (required)

Estimated Repair Cost (required)

Known Supplement Amount

Enter any known supplement amount if it is already documented; otherwise leave blank.

State Total Loss Threshold (%) (required)

Enter the applicable state threshold percentage used to determine whether the vehicle is a likely total loss.

Threshold Source

Optional reference for the threshold used, such as state statute, carrier guideline, or internal policy.

Total Loss Screening Result

Repair-to-ACV Percentage

Comparison Result

This result compares the estimated repair percentage to the state total loss threshold.

Likely Total Loss? (required)

Escalate to Total Loss Review?

Select if the estimate should be reviewed by a supervisor, adjuster, or total loss specialist.

Yes No N/A

Audit Trail and Notes

Supporting Notes

Include any assumptions, missing information, or estimate factors that affect the screening result.

Supporting Documents

Upload estimate pages, valuation reports, or other supporting documents if available.

Reviewer Name

Review Date

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