Selective Insurance Company of America

Selective Insurance Company of America
Contact Info / Directory Listing

Physical Address

3426 Toringdon Way
Charlotte, NC 28277

Telephone Numbers

Local: 770-667-8128
Fax: 1-877-233-1354

Contact

Sally Stone, CPCU, Field Clm Supv

Attorney for Selective Insurance
ADAM M. SHEDD, Corporate Counsel 973-948-1310

➤ Selective Insurance drivers, was your vehicle involved in an accident? Get a free Diminished Value Quote.

Loss in Value Questionnaire (Will take 2 minutes of your time)

Please fill out the form below to receive a FREE Diminished Value estimate.

Vehicle Owner*
Email Address*
Callback Number*
Best Time To Call You
Zip Code*
Date of Loss
Month
Day
Year
Overall Vehicle Condition
Vehicle Identifying Information (please check all that applies)*
- VIN#
- Tag #
- Year Make and Model
Which of the following information do you have?
Please Note:
We need your tag# to pull a vehicle history report.
Vehicle Identification Number

Where to find your VIN#
▶ Your Vehicle
▶ Your car title
▶ Your regitsrtaion card
▶ Your insurance card
▶ Your emissions slip
▶ Property Tax documents
▶ Any citations or police reports
Year / Make / Model

Example: 2014 Honda Accord
Tag #

This is the metal plate above your rear bumper.
Example: GXA4575
Miles at Loss
Primary Damage Area
Previous Accidents
Previous Accident Details
Unrelated Damage
Does the vehicle have unrelated body damage?
Unrelated Damage Description
Airbag Deployment
Frame or Structural Damage?
Police Report or Citation?
Vehicle Completely Repaired?
Do you have Repair Quality issues?
Insurance Carrier Paying for Repairs
Your Insurance Carrier

1st Party Claim
Your Insurance Carrier

1st Party Claim
Other Party's Insurance Carrier

3rd Party Claim
Repair Cost or Estimate
DV amount offered to you (if applicable)
How Did you Hear About Us?
Refrerred By
Source (Other)
In order to expedite your request, please send us a copy of your repair estimate.
Please use the upload fields below or email to reports@carappraisalclaims.com
Repair Estimate Upload
Max. file size: 64 MB.
Additional Upload Field
Max. file size: 64 MB.
Example: Pictures of Accident
Additional Upload Field
Max. file size: 64 MB.
Example: Picture of vehicle before accident or anything else.
Comments
Do you have any other information you'd like to provide us?

Diminished Value of Georgia

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1372 Peachtree St NE
Atlanta, GA 30309
Call or Text: (678) 404-0455
Fax: (678) 868-1832
Hours: Monday thru Friday 9am to 4:00pm
Whatsapp | (678) 666-2575
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Selective Insurance Company of America