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Total Logic Valuation Inspection Worksheet

Page 1 of 4 Inspection Worksheet (800) 710-2451 (Service Center)(858) 530-8904 (Fax)Claim and Admin InformationInspected ByNameCompanyPhoneInspection SiteDateClaimClaim-Suffix IDPolicy NumberInsurance CarrierLoss DateSettlement Offer DateClaim RepresentativeFirst Name Last NameClaim Representative IDOwnerFirst Name Last NameInsuredClaimant AddressHome PhoneCityStateWork PhoneZIPFaxLien HolderNameLoss TypeDeductibleVehicle IdentificationVINV ehicle TypeYe a rM a k eM o d e lSub-ModelBody StyleExterior ColorEngineTransmissionDrive TrainLicense PlateState RegisteredRegistration ExpiresMileageVehicle Location ZIP** Denotes a required field*Page 2 of 4

Page 1 of 4 (800) 710-2451 (Service Center) Inspection Worksheet (858) 530-8904 (Fax) Claim and Admin Information Inspected By Name Company Phone Inspection Site Date Claim

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