Please fill out the following form. This will help RL Appraisals to serve you better. We will make sure to get back to you as soon as possible.
APPRAISAL REQUEST FORM
Comments:
Company:
Adjuster:
Policy No.
Date of Loss:
Insured:
Claimant:
Address:
Home Telephone No:
Business Telephone No:
E-mail Address:
Year/Make/Model:
Serial No:
Plate No:
Point of Impact:
Body Shop:
Contact:
Cross Roads:
Phone No:
Fax No:
Type of Loss:
Coll. Comp. Comp. S + Rec
Deductible:
Estimate:
Date Assigned:
Time:
Hamilton, Surrounding Areas and Niagara Peninsula
