Submit New Claim - HEA Appraisals

Insurance Company

Insurance Company Name

Adjuster or Representative Name

Adjuster or Representative Email

Adjuster or Representative Phone

Claim Information

Claim Number

Policy Number

Stock #

Deductible Amount

Date Of Loss

Type of Loss

Vehicle or Property Type Select Vehicle or Property Type

Auto

Private Passenger Autos and Light Pickups

Specialty Auto

Inc. non-database stock vehicles such as Tesla's, Sprinter Vans, Ferrari's, Lamborghini's, McLarens, Police Cars

Antique/Classic Auto

Inc any vehicle pre 1985

Light Duty Commercial

Use this category for stock Light Vans, Pickup Trucks and SUV's which may have signage, a wrap, a lumber rack, etc. Do not use this category for trucks with a utility bed or van box.

Truck/Tractor

Includes Medium Duty and Heavy Duty Trucks and Tractors, i.e. Sleeper Cabs, Day Cabs, Box Vans, Garbage Trucks, Boom Trucks, etc

Trailer - Commercial

Dry Van, Reefer, Logging, Car Hauler, Dump, Flatbed

Tow Truck

Tow, Wrecker, Rollback

Emergency Vehicle

Inc Ambulances and Fire Trucks

Limousine

Bus

School, Tour, Shuttle, City

Farm/Agricultural

Farm Tractors, Combines, Hay Baler, Grain and Tankers

Construction Equipment

Backhoe, Bulldozer, Excavator, Forklift, Loader, Skid Steer, Street Sweeper, Compressors

Crane

Recreational Vehicle

Inc Motor Home, Toyboxes, 5th Wheel, Travel Trailer, Truck Camper

Marine/Boat

All types of Boats, wave runners, sailboats, etc

Motorcycle

Motorcycle-Stock

Custom Motorcycle and Off Road Vehicles

Custom MC, ATV, Side by Side, Snowmobile

Residential/Commercial Structure (Property)

Including but not limited to Walls, Gates, Fences, Delivery bay/garage doors, overhangs, structures...if too complex we will advise.

Task Assignment

Cargo

Insured/Claimant

This assignment is for? Insured Claimant

Insured

Name

Address

City

State

Zip

Owner Cell Number

Phone Home

Phone Work

Fax

Damage

Facts of Loss/Assignment Instructions

Vehicle

Year

Make

Model

VIN

License Plate

Color

Location

Type

Name

Address

City

State

Zip

Phone

Assignment

Assignment Type Select Assignment Type

Field Appraisal

Physical field inspection performed by a qualified appraiser, Appraisal Report, Estimate and Photos and any total loss documentation required per client guidelines.

Supplement

Review of additional damages identified.

Photos Only

This will include a photo inspection to verify the vehicle/property as well as the condition of the vehicle/property and a summary report.

Correction

Recorded Statement

Recorded statement with the specified person to address requested items and a summary if provided along with the recording.

Police/Fire Report or Doc's

We will obtain a copy of the Police/Fire report or other documentation requested.

Market Valuation

Typically a CCC or VVS evaluation or another Total Loss vendor that you may work with.

DOI Reinspection-Auto

Subrogation Review-Auto

Review of adverse carriers documents to confirm accuracy of estimate, use of alternate parts, TL value and conditioning as well as appropriate time for storage and rental and we provide suggestions for settlement.

Subrogation Review-Heavy Equipment/Specialty

Salvage Bids

Scene Investigation

Include diagram and photos of designated area along with Report to include description of area.

Task All Other

Desk Review

DOI Reinspection-HE

Appraisal CAT

Diminished Value-Auto

Diminished Value-Heavy Equipment

DRP Reinspection

CPI Inspection

CPI Inspection is used for 'Collateral Protection Insurance' or 'Forced Placed' policies only.

Cause & Origin

Coordination and handling of Cause and Origin of loss per instruction. We work to coordinate extent of C&O as well as budgeting costs of same.

CPI Desk Review

Assignment Sheet File Remove File

Add File

Completed Files Delivery and Status Notifications

Deliver Completed File to Owner/Shop Yes No

Deliver Files to Additional Insurance Company Email Addresses

Deliver Files to Fax

Status Notifications Email Address