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Automotive Repair Reinspection Form - Dashboard

Automotive Repair Reinspection FormWestern DivisionEastern Division3817 W. Magnolia41 Lundlam , CA 91505 Bayville, NY 11709 Tel: (800) 572-8010 Tel: (800) 856-4353 Fax: (800) 544-1332 Fax: (800) No:Carrier: SCA File No: REINSPECTING APPRAISERORIGINAL APPRAISERDATE ASSIGNEDDATE ORIGINAL OFWRITTENREINSPECTIONVEHICLE OWNERINSTYPE OF LOSSBEFORE REPAIRREPAIR REPAIRAFTER REPAIRVEHICLE YEAR/MAKE/MODELLOCATION OF INSPECTION ADDRESSREINSP. MADESHOPNAMEW/ ORIGINAL APPRAISERSTREETCITY STATEW/O ORIGINAL APPRAISERN A123456789101112 Page 1Do repairs seem excessive to damage?Evidence of old damage not related to this claim ?Any evidence of improper / unacceptable repairs?DATE OF LOSSS tate Bureau of Automotive Repair ?General Comments and / or Recommendations of Reinspector:Were panels blended [ref] W/O R/I trim [Estimate shows R/l trim]?

Automotive Repair Reinspection Form Western Division Eastern Division 3817 W. Magnolia 41 Lundlam Ave. Burbank, CA 91505 Bayville, NY 11709 Tel: (800) 572-8010 Tel: (800) 856-4353

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  Form, Repair, Automotive, Reinspection, Automotive repair reinspection form

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