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Claim Inquiry Form
First name
Last name
Phone number
Email
Type of service
Diminished Value
Total Loss
Disputed Value
Tax Appraisal
Expert Witness
Divorce Appraisal
Tax Appraisal
Bank Loan Appraisal
Stated Value Policy
Dealer Fraud
Mediation
Arbitration
Appraisal
Loss of Use
Lemon Law
Dealer Dispute
Dealer vs Dealer
DMV
Estate Dissolution
Tax Donation
Other
Were you at fault?
Yes
No
What state did this occur in?
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Vehicle year
Vehicle Make
Any Make
Acura
Alfa Romeo
Aston Martin
Audi
Bentley
BMW
Buick
Cadillac
Chevrolet
Chrysler
Datsun
Dodge
Ferrari
Fiat
Fisker
Fleetwood
Ford
GMC
Holiday Rambler
Honda
Hyundai
Infiniti
International
Jaguar
Jeep
Kia
Lamborghini
Land Rover
Lexus
Lincoln
Lotus
Maserati
Mazda
McLaren
Mercedes Benz
MINI
Mitsubishi
Morgan
Nissan
Oldsmobile
Polaris
Pontiac
Porsche
Puma
Ram
Rolls-Royce
smart
SPCN
Subaru
Tesla
Thor Motor Coach
Toyota
Vanderhall
Volkswagen
Volvo
Winnebago
Vehicle Model
Any Model
Vehicle mileage
VIN
Value of vehicle
Total cost of repairs
$0 - $1,500
$1,501 - $5,000
$5,001 - $10,000
$10,001+
Insurance company originally paid for repairs
Mine
At Fault Party
How did you find us?
google ad
google organic (web) listing
yelp
yahoo organic (web) listing
bing organic (web) listing
attorney
Other
Prior rental
I understand that any information which I receive from S. Proto does not constitute legal advice. If I am seeking legal advice I will contact a licensed attorney in my state.
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