SET APPOINTMENT FOR CLAIM AND REPAIR APPRAISAL

The following information will help
Direct Appraisal
set up the initial information for your appointment and allow us to provide you with the best possible services. 

Please complete the following information and submit your request to the Direct Appraisal offices.  

We will contact you within 24 hours to set up a convenient time for your appointment.  
   
If you have any questions contact the
Direct Appraisal at 972.306.4913 
or
e-mail.

How did you hear about 
Direct Appraisal?
Has the vehicle been 
involved in an accident?
Was the Accident your fault?
Has the vehicle been repaired?
Are you satisfied 
with the repairs?
Set Appointment for:

CUSTOMER  INFORMATION

   
FIRST NAME FAX
LAST NAME ADDRESS
PHONE ADDRESS
WK/CELL PHONE CITY

E-MAIL

STATE/ZIP

VEHICLE INFORMATION

   
YEAR PURCHASED VEHICLE
MAKE PREVIOUS 
ACCIDENT HISTORY
MODEL  VEHICLE CONDITION
SUB MODEL DATE OF LOSS
VIN NUMBER ESTIMATED COST OF REPAIRS
MILEAGE RESPONSIBLE INS. CO.

VEHICLE OPTIONS

   
ENGINE TYPE ENGINE SIZE TRANSMISSION DRIVE
DOORS BED (IF TRUCK) CAB (IF TRUCK)  
 

Hold down "Ctrl" key to select more than one option.
RADIO/ALARMS SEATS COLOR/PAINT TYPE TIRES



ROOF/SUN

POWER ACCESSORIES
OTHER
  

    If you do not  feel your vehicle has been repaired completely and to industry standards, state why?
  

    Any additional comments:
  

APPOINTMENT LOCATION

   
APPOINTMENT LOCATION

VEHICLE LOCATION

  Directions to Dallas Office ADDRESS
In the Dallas area you can set an appointment to bring your vehicle by the Direct Appraisal offices for your inspection.  
Direct Appraisal will send an appraiser to the location of your vehicle for an on-site inspection but there may be additional charges.
ADDRESS
CITY

STATE/ZIP

COMPANY NAME
BEST TIME TO CONTACT CONTACT
  Direct Appraisal will contact you within 24 hours to arrange a convenient appointment time to inspect your vehicle. PHONE
     
PAYMENT TYPE:      


I request that Direct Appraisal perform a complete market evaluation including any diminished value on my vehicle. I understand that Direct Appraisal will charge a flat fee plus any applicable tax for my evaluation plus any travel fee to be paid now or upon inspection. I understand that this fee is neither a contingent fee or a percentage fee and in the event that expert witness testimony is needed as a result of this appraisal an additional fee covering time and travel expense will be charged. I understand that none of the information submitted or discussed should be considered legal advise.


 

Direct Appraisal uses PayPal for secured transactions.
If you have any problems please contact Direct Appraisal at 972-306-4913

 

 

 

 

 

 

 

 

 

 

 

 

Hit Counter