Appraisal Assignment

Please fill out the form below before making a payment.

Diminished Value Questionnaire

Vehicle Owner:
Email Address:(valid email required)
Callback Number:
Zip Code:
Vehicle Ownership Information:
Vehicle Identification Number:
Vehicle Year,Make & Model:
Overall Vehicle Condition
Date of loss:
Odometer:
Is this the vehicle's first accident?
Does your vehicle have unrelated body damage?
Primary Damage Area:
Did the Airbags deploy on your car?
Was there frame or structural damage?
Was there a police report or a citation issued?
Your Insurance Carrier:
Other Party's Insurance carrier:
Who is paying/paid for the repairs?
Vehicle Completely Repaired?
Approximate cost of repairs:
DV amount offered to you:
How did you hear about us?
Comments/ Vehicle Options:
Upload Repair Bill/ Pictures. Fax to 678-666-2575 or email to info@dvga.net (Large Files)
Upload Picture 1 (optional)
Upload Picture 2 (optional)
Upload Picture 3 (optional)
Upload Pictures 4 (optional)
Upload Repair Bill (optional)

Legal Info:
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$95 Desk Appraisals offered in:
Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, 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, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming.