Diminished in Value - Submit for your DIV Appraisal

Please fill out the form below so I can begin to work on your Diminished in Value Appraisal Report . Please allow 24 to 48 hours to complete . Please answer all questions to the best of your ability. If there is an issue using this form , use this email instead : divreport@protonmail.com . After I receive your information and we discuss the DIV Appraisal / Report and if you decide to go forward with the DIV Appraisal Report , you will then receive an email from our Quickbooks account and an invoice for $250.00 ( minus any discount codes) , which you can pay with a debit or a credit card or ACH withdraw.

First name

Last name

Mailing Address ( if you want the report via USPS)

Date of Accident

Cell/ Phone

Do you prefer text / call/ email ?

Vehicle Make

Vehicle Model and Year

check the box here : if your vehicle has been repaired

check the box here : if the Insurance company has determined you were Not - at - Fault

check the box here : if your vehicle has been in a previous accident

check the box here : if this is a Leased vehicle

Total Repair Cost

Upload the Estimate of Record or Repair Bill

File Upload:

If the Insurance company has made you a Diminished in Value offer please upload it here

File Upload:

Vehicle Mileage

If your Repair Facility is enrolled in our RFRP please input their code below. If you do not have it right now we can apply the discount code later .

Discount Code

$20.00 Discount for Active Duty Military or Veteran or Veteran Dependent ( spouse /children /Grand Parents ) or First Responder

What branch of Service ? or First Responder Position?

by putting in a check mark in the box you certify that you are : Active Duty Military or Veteran or a Dependent of a Veteran or a First Responder

Comments

Do not enter anything in this field: